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New York rates for HCPCS 58673

Laparoscopy, surgical; with salpingostomy (salpingoneostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.93 / $5,576.00 / $13,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.44 / $980.14 / $2,052.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,568.00 / $7,578.00 / $14,193.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.78 / $752.30 / $1,973.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.63 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.63 / $1,129.63 / $1,129.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.60 / $908.60 / $12,209.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.35 / $1,362.58 / $2,870.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,140.00 / $2,064.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.49 / $1,070.45 / $1,601.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.18 / $1,157.03 / $1,928.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $908.60 / $12,209.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.03 / $1,362.58 / $2,945.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $7,391.00 / $16,403.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.04 / $1,106.22 / $2,116.07
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.61 / $907.61 / $2,821.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.18 / $1,157.03 / $2,070.96