go back

Delaware rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.10 / $1,709.10 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.02 / $665.02 / $714.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.67 / $946.64 / $1,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.52 / $915.81 / $1,683.64