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Maryland rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $3,485.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $326.36 / $588.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.13 / $417.97 / $471.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,016.21 / $3,016.21 / $3,016.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.12 / $493.69 / $958.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.62 / $515.53 / $833.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.06 / $439.68 / $748.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.67 / $445.76 / $549.87