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Pennsylvania rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.66 / $669.76 / $909.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.04 / $1,018.28 / $1,355.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.76 / $948.93 / $1,472.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.15 / $1,144.77 / $1,144.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.48 / $1,342.48 / $1,342.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.19 / $761.30 / $2,660.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $915.90 / $1,842.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.16 / $951.89 / $1,701.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.40 / $720.40 / $830.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.60 / $726.84 / $830.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.16 / $927.07 / $1,504.43