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Hawaii rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.10 / $736.10 / $737.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $891.31 / $891.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.31 / $1,119.88 / $8,902.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.36 / $855.66 / $998.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.31 / $899.81 / $1,168.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.05 / $3,692.19 / $9,324.00