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West Virginia rates for HCPCS 57426

Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.22 / $814.22 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.07 / $1,029.67 / $1,121.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.88 / $995.88 / $995.88