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West Virginia rates for HCPCS 58554

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,735.90 / $23,135.28 / $42,370.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.32 / $1,553.72 / $1,692.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.48 / $1,494.48 / $1,494.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,022.84 / $10,022.84 / $19,946.68