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West Virginia rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $5,179.39 / $5,179.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.20 / $1,124.48 / $1,277.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.75 / $1,371.19 / $1,493.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.94 / $1,327.94 / $1,327.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.04 / $1,318.04 / $1,318.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.36 / $1,635.26 / $6,652.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.14 / $1,302.68 / $1,997.07