go back

Indiana 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
$1,173.00 / $11,055.29 / $23,871.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,847.36 / $15,013.82 / $24,826.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.00 / $10,965.00 / $30,091.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.66 / $793.35 / $1,234.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,833.32 / $3,833.32 / $3,833.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00