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Alaska rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,499.72 / $3,499.72 / $4,640.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.21 / $2,511.21 / $2,511.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.83 / $3,499.72 / $5,004.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.83 / $4,611.60 / $5,985.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,745.00 / $3,184.20 / $4,547.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.83 / $3,499.72 / $5,004.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.25 / $3,196.50 / $4,616.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.36 / $2,008.96 / $4,541.30