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West Virginia rates for HCPCS 58720

Salpingo-Oophorectomy Compl/Prtl Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.23 / $709.23 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.76 / $900.71 / $981.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.17 / $867.17 / $867.17
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.60 / $85.60 / $85.60