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Massachusetts rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,747.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.49 / $368.88 / $523.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.82 / $6,078.00 / $21,130.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.24 / $683.57 / $2,806.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.00 / $710.44 / $1,158.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.91 / $758.91 / $1,399.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.08 / $789.98 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.85 / $422.37 / $680.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.57 / $916.57 / $1,343.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,292.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.64 / $789.98 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.70 / $557.12 / $1,237.73