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Maryland rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.73 / $620.91 / $3,843.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.14 / $826.09 / $981.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,016.21 / $3,016.21 / $3,016.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.37 / $990.02 / $1,883.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.58 / $1,007.58 / $1,630.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.57 / $908.29 / $1,600.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.76 / $871.22 / $1,075.55