go back

Utah rates for HCPCS 58672

Laparoscopy Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.85 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.80 / $958.85 / $1,275.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.13 / $1,016.66 / $1,373.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $525.47 / $700.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.33 / $1,277.84 / $1,573.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.23 / $832.80 / $1,534.32