go back

Arkansas rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.82 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.19 / $844.82 / $1,045.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,300.93 / $5,300.93 / $6,361.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.18 / $971.71 / $971.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.62 / $4,726.62 / $4,726.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.09 / $1,231.35 / $1,311.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,334.00 / $8,676.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.60 / $822.10 / $1,405.29