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West Virginia rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.62 / $720.62 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.72 / $914.96 / $996.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.76 / $875.76 / $875.76