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Arizona rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $4,632.00 / $9,429.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.44 / $773.66 / $4,174.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.22 / $902.96 / $1,128.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.72 / $971.20 / $1,703.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.74 / $1,042.81 / $9,383.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.64 / $903.69 / $6,544.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.20 / $856.01 / $1,532.07