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West Virginia rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,873.96 / $1,873.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.05 / $2,381.32 / $2,594.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.73 / $2,287.73 / $2,287.73
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.74 / $224.74 / $224.74