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Indiana rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $9,458.87 / $19,148.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$22,895.86 / $22,895.86 / $22,895.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.00 / $11,153.00 / $28,794.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.60 / $835.38 / $963.90
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