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New Jersey rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.40 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.02 / $731.14 / $1,241.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.37 / $1,113.19 / $2,083.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.47 / $1,127.61 / $1,350.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,446.90 / $12,999.74 / $30,758.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.73 / $804.34 / $1,479.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.57 / $927.07 / $1,667.11