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West Virginia rates for HCPCS 58565

Hysteroscopy Bi Tube Occlusion W/Perm Implnts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.37 / $1,400.00 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.50 / $693.92 / $1,533.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.33 / $537.40 / $585.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.44 / $520.44 / $520.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.41 / $773.41 / $773.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.45 / $1,498.44 / $4,654.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.10 / $2,310.17 / $4,142.59