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West Virginia rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.97 / $972.97 / $3,050.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.98 / $1,237.82 / $1,348.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.92 / $1,166.92 / $1,166.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,406.15 / $40,488.36 / $46,671.69