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Virginia rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $5,895.00 / $14,187.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.73 / $811.65 / $970.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.11 / $864.60 / $1,185.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.14 / $1,189.57 / $19,258.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.82 / $978.68 / $1,831.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.55 / $828.66 / $1,022.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.90 / $987.91 / $1,485.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.00 / $1,030.00 / $1,707.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.34 / $977.85 / $7,902.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.34 / $977.85 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.94 / $1,063.90 / $1,619.13