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West Virginia rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.20 / $8,764.09 / $17,783.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.25 / $925.09 / $1,130.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.24 / $816.24 / $816.24
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$80.19 / $80.19 / $80.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,397.03 / $22,441.49 / $32,028.15
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$37,616.11 / $37,616.11 / $37,616.11