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West Virginia rates for HCPCS 58615

Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $323.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $446.68