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West Virginia rates for HCPCS 57295

Revision (including removal) of prosthetic vaginal graft; vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $1,700.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.16 / $589.16 / $641.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.26 / $571.26 / $571.26