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Wisconsin 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
$398.11 / $5,623.41 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,882.50 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $707.95 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,174.90 / $1,318.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $7,079.46 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $9,549.93 / $16,595.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $489.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $851.14 / $1,258.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $16,218.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $2,818.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $1,548.82