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West Virginia rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.10 / $856.10 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.60 / $856.10 / $997.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.99 / $1,078.99 / $1,078.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.77 / $1,038.77 / $1,038.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.69 / $1,264.66 / $5,363.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.25 / $1,079.63 / $1,744.81