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Alaska rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,356.33 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,799.19 / $3,799.19 / $5,043.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,728.34 / $2,728.34 / $2,728.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.53 / $3,799.19 / $5,432.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.05 / $5,004.30 / $6,497.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,978.75 / $3,455.35 / $4,943.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.53 / $3,799.19 / $5,432.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.90 / $3,472.50 / $5,004.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.03 / $3,273.99 / $4,936.43