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Idaho rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.88 / $928.79 / $1,382.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.14 / $1,363.85 / $1,522.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.49 / $1,382.83 / $1,633.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.84 / $1,348.94 / $1,541.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,097.17 / $1,380.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,817.25 / $17,382.52 / $31,188.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.95 / $1,220.95 / $1,489.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.47 / $1,099.98 / $1,643.65