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West Virginia rates for HCPCS 58954

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,029.11 / $2,029.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,302.92 / $2,579.46 / $2,810.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.69 / $2,476.69 / $2,476.69