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Wisconsin 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
$724.44 / $1,380.38 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,882.50 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,041.74 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $7,079.46 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $9,549.93 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,584.89 / $2,290.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,378.01