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West Virginia rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $2,570.40 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $1,071.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,023.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,412.54