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Georgia rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.74 / $6,433.00 / $11,103.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.66 / $805.46 / $2,049.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.94 / $4,405.96 / $9,365.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.87 / $1,146.14 / $1,938.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.71 / $1,502.51 / $2,307.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,186.00 / $7,258.00 / $10,047.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.59 / $1,236.07 / $2,133.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.56 / $934.13 / $2,992.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.32 / $1,025.88 / $1,696.94