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Virginia 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
$987.00 / $6,363.44 / $14,857.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.06 / $811.27 / $1,000.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.83 / $956.22 / $1,386.70
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$179.74 / $254.58 / $283.39
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.82 / $178.20 / $198.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.10 / $937.03 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00