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West Virginia rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.09 / $691.09 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.29 / $691.09 / $811.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.68 / $870.68 / $870.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.28 / $837.28 / $837.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.82 / $1,042.95 / $4,619.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.13 / $946.67 / $1,357.23