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Texas rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,925.00 / $10,874.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.30 / $733.94 / $1,050.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.64 / $7,298.90 / $14,597.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.70 / $857.29 / $1,189.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.97 / $632.97 / $632.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,105.82 / $4,105.82 / $4,105.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.84 / $1,013.75 / $1,534.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,167.45 / $7,167.45 / $7,167.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.66 / $968.88 / $1,923.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.43 / $1,086.80 / $1,278.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.09 / $1,043.09 / $1,043.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.93 / $987.92 / $1,923.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.84 / $1,027.97 / $1,603.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.00 / $7,350.00 / $16,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $822.10 / $1,307.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.25 / $693.46 / $955.71