go back

Maryland rates for HCPCS 58662

Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.67 / $4,747.18 / $8,237.57
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$25,669.26 / $25,669.26 / $25,669.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,016.21 / $3,016.21 / $3,016.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.37 / $987.35 / $1,586.75