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Missouri rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,507.00 / $6,167.00 / $12,292.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.22 / $698.26 / $805.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,232.00 / $5,617.00 / $12,891.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.74 / $989.83 / $1,416.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,806.00 / $11,477.00 / $20,055.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.33 / $1,094.83 / $1,871.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.61 / $1,338.38 / $18,385.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.50 / $1,155.33 / $7,167.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,963.00 / $12,601.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.07 / $1,006.32 / $1,629.15