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Texas rates for HCPCS 58662

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

Facilitymedian $5,370 · 10th–90th $1,096–$12,5890%5%10th90th$5,370$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $5,128.61 / $12,022.64
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $7,762.47 / $14,791.08
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $6,025.60 / $12,882.50
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $9,332.54 / $9,332.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $3,019.95 / $10,232.93
Moda Health
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $912.01 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $7,413.10 / $14,454.40