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Ohio rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.15 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.29 / $714.29 / $1,935.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.00 / $5,067.00 / $25,522.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.83 / $864.60 / $1,538.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.74 / $1,028.93 / $1,298.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.04 / $762.04 / $1,350.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.11 / $978.46 / $1,460.73
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.76 / $1,042.14 / $1,460.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.89 / $718.55 / $1,023.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $8,448.00 / $13,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.81 / $954.82 / $1,642.45