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New York rates for HCPCS 58660

Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.30 / $5,630.00 / $13,260.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,568.00 / $7,800.00 / $21,263.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.76 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.59 / $783.59 / $12,209.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,050.00 / $1,816.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,191.25 / $3,191.25 / $7,066.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $783.59 / $12,209.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $7,391.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.33 / $782.33 / $2,301.17