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Nebraska rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.76 / $669.76 / $3,843.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,992.68 / $9,476.87 / $17,790.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.23 / $1,098.13 / $1,464.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.52 / $1,668.38 / $2,189.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $1,272.54 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.94 / $1,674.07 / $7,167.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.52 / $1,796.34 / $5,275.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.00 / $1,598.24 / $2,189.57
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
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.57 / $1,620.58 / $2,007.68