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West Virginia rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.08 / $1,400.00 / $32,050.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.88 / $984.77 / $1,072.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.39 / $949.39 / $949.39
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.28 / $93.28 / $93.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,584.65 / $6,930.85 / $27,203.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00