go back

North Carolina rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.59 / $1,849.00 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.59 / $723.59 / $1,230.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.36 / $1,320.49 / $2,042.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.52 / $1,226.67 / $1,909.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.59 / $958.00 / $1,823.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.91 / $940.91 / $1,850.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,117.00 / $1,842.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,545.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.39 / $1,002.16 / $1,989.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.14 / $16,223.75 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,167.45 / $7,167.45 / $7,167.45