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Louisiana rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,562.00 / $5,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.17 / $919.18 / $1,116.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,766.52 / $9,166.60 / $13,229.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.40 / $986.91 / $1,305.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.39 / $946.35 / $1,414.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.69 / $937.80 / $1,562.95