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Louisiana rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.42 / $1,958.00 / $4,559.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $445.75 / $581.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.75 / $412.75 / $412.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,766.52 / $9,061.76 / $13,048.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.47 / $500.31 / $647.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.81 / $447.76 / $710.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.10 / $461.88 / $775.07