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West Virginia rates for HCPCS 58552

Laparoscopy, surgical, with vaginal 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
$4,921.84 / $20,589.29 / $30,409.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.51 / $1,168.00 / $1,272.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.99 / $1,121.99 / $1,121.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.13 / $110.13 / $110.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,256.73 / $31,033.55 / $53,013.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,189.58 / $29,189.58 / $29,189.58