go back

Maryland rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.55 / $673.88 / $4,174.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.93 / $897.35 / $1,046.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.33 / $1,076.43 / $2,039.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.09 / $1,093.38 / $1,769.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.10 / $961.56 / $1,620.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.44 / $945.40 / $1,167.11