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West Virginia rates for HCPCS 58952

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,539.20 / $1,539.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.69 / $1,952.32 / $2,127.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.80 / $1,880.80 / $1,880.80