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West Virginia rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.23 / $237.23 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.59 / $237.23 / $272.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.91 / $297.32 / $323.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.95 / $287.95 / $287.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.02 / $289.02 / $289.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.02 / $358.23 / $1,681.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.40 / $317.01 / $455.74