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West Virginia rates for HCPCS 58661

Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.95 / $7,409.08 / $23,164.42
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$8,555.41 / $8,555.41 / $8,555.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,163.64 / $9,691.40 / $10,701.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.66 / $847.34 / $1,035.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.90 / $746.90 / $746.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.26 / $73.26 / $73.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,362.80 / $14,180.70 / $27,699.35
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,126.00 / $15,509.30 / $31,922.69