go back

New York rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.80 / $5,630.00 / $12,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.95 / $900.97 / $1,889.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,568.00 / $7,578.00 / $14,193.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.01 / $692.03 / $1,819.35
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.58 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.58 / $1,040.58 / $1,040.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.28 / $837.28 / $12,209.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.45 / $1,254.21 / $2,644.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,195.00 / $2,067.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.09 / $1,031.47 / $1,476.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.91 / $945.22 / $1,470.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $837.28 / $12,209.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.40 / $1,254.21 / $2,721.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $7,391.00 / $16,403.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.71 / $983.16 / $1,937.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.40 / $836.40 / $2,649.10
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.91 / $1,010.94 / $1,863.03