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Arizona rates for HCPCS 58661

Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,086.00 / $5,849.00 / $9,652.50
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,657.25 / $9,196.00 / $13,794.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.57 / $3,840.73 / $5,814.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,269.46 / $5,269.46 / $5,269.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.41 / $865.58 / $9,383.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,682.99 / $2,682.99 / $5,486.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.08 / $1,537.78 / $1,537.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00