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Indiana rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.06 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.02 / $368.56 / $442.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $28,794.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.21 / $467.46 / $663.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.11 / $436.02 / $503.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.40 / $385.71 / $503.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,833.32 / $3,833.32 / $3,833.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.50 / $484.30 / $762.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.77 / $412.62 / $690.98