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West Virginia rates for HCPCS 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,760.42 / $1,760.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.19 / $2,233.92 / $2,433.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.11 / $2,150.11 / $2,150.11
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,691.71 / $1,691.71 / $1,691.71
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$211.46 / $211.46 / $211.46