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West Virginia rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.77 / $1,991.84 / $13,975.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.32 / $2,296.23 / $2,501.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.33 / $2,207.33 / $2,207.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.02 / $217.02 / $217.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,671.20 / $22,671.20 / $22,671.20