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Wisconsin rates for HCPCS 58672

Laparoscopy, surgical; with fimbrioplasty

Facilitymedian $12,303 · 10th–90th $6,166$20,4170%10%10th90th$12,303Professionalmedian $955 · 10th–90th $676$2,8180%10%20%10th90th$955$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,479.11 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $776.25 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $22,387.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,380.38 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,187.76 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $2,137.96 / $2,570.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $7,413.10 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,778.28 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $10,232.93 / $16,595.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,348.96 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $977.24
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $10,715.19 / $17,378.01
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,819.70 / $2,290.87
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,621.81 / $2,570.40
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $16,218.10 / $16,218.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $3,548.13 / $7,244.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $1,778.28
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,890.45 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $14,125.38 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,288.25 / $3,090.30