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Arkansas rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.06 / $1,641.00 / $3,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.68 / $417.19 / $573.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,300.93 / $5,300.93 / $6,361.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $495.14 / $495.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.62 / $4,726.62 / $4,726.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.67 / $603.90 / $639.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,555.00 / $8,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.15 / $444.11 / $705.33