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West Virginia rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.05 / $858.05 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.44 / $858.05 / $999.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.23 / $1,041.23 / $1,041.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.30 / $1,283.50 / $5,297.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.17 / $1,200.06 / $1,578.20