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Indiana rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.62 / $1,854.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.22 / $779.62 / $928.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.00 / $11,153.00 / $28,794.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.35 / $1,076.88 / $1,486.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.60 / $1,069.56 / $1,604.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.69 / $926.95 / $1,283.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.74 / $1,023.17 / $1,629.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.87 / $920.57 / $1,460.70