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West Virginia rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.98 / $772.98 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.18 / $772.98 / $899.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.05 / $974.05 / $974.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.86 / $938.86 / $938.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.13 / $1,164.23 / $4,744.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.59 / $920.66 / $1,423.68