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Massachusetts rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.14 / $795.04 / $1,731.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $6,078.00 / $21,130.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.84 / $1,444.96 / $7,167.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.85 / $1,496.04 / $2,711.43
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.86 / $1,528.92 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.80 / $822.60 / $1,326.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.48 / $1,793.92 / $2,627.94
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,292.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.13 / $1,528.92 / $7,167.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.16 / $1,132.53 / $2,471.94