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West Virginia rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.57 / $6,423.02 / $9,266.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.11 / $362.77 / $796.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.56 / $439.20 / $478.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $425.35 / $425.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.60 / $424.60 / $424.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.98 / $507.11 / $2,181.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,888.01 / $6,888.01 / $14,085.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.23 / $429.48 / $620.54