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West Virginia rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.45 / $926.45 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.07 / $926.45 / $1,103.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.08 / $1,179.01 / $1,284.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.82 / $1,141.82 / $1,141.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.58 / $1,136.58 / $1,136.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.94 / $1,332.13 / $5,442.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.05 / $1,082.47 / $1,560.59