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Georgia rates for HCPCS 58661

Laparoscopy W/Rmvl Adnexal Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,113.80 / $8,788.50 / $14,497.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,901.97 / $9,924.40 / $20,259.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.22 / $4,429.60 / $9,365.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.98 / $897.77 / $1,443.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,186.00 / $7,258.00 / $10,047.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.90 / $835.77 / $2,620.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$1,944.24 / $1,944.24 / $1,944.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$51.85 / $51.85 / $51.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$25.92 / $25.92 / $25.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00