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West Virginia rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.64 / $1,175.64 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.49 / $1,175.64 / $1,394.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.14 / $1,481.74 / $1,614.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.00 / $1,435.00 / $1,435.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.29 / $1,424.29 / $1,424.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.34 / $1,773.77 / $7,319.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,209.40 / $12,209.40 / $12,209.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.96 / $1,795.82 / $2,025.04