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West Virginia rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.87 / $1,400.00 / $3,040.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.91 / $748.87 / $880.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.94 / $945.13 / $1,029.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.32 / $915.32 / $915.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.60 / $908.60 / $908.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.06 / $1,130.20 / $4,928.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.79 / $1,053.95 / $1,444.07