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Hawaii rates for HCPCS 58670

Laparoscopy, surgical; with fulguration of oviducts (with or without transection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $457.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $12,589.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $446.68 / $588.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $3,235.94 / $6,165.95