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California rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.09 / $9,388.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.61 / $736.10 / $3,843.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $9,644.00 / $19,252.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.32 / $1,152.99 / $2,168.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,847.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.35 / $870.65 / $2,142.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.43 / $11,684.00 / $14,696.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $941.24 / $2,684.91
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.00 / $882.20 / $4,010.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.80 / $924.52 / $1,653.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.14 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,167.45 / $7,167.45 / $7,167.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.61 / $989.29 / $1,479.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $946.79 / $2,074.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.81 / $2,384.81 / $2,384.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,722.00 / $29,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.67 / $836.05 / $2,277.80