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West Virginia rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.70 / $1,262.70 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.46 / $1,607.82 / $1,751.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.38 / $1,541.38 / $1,541.38