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Rhode Island rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.82 / $802.43 / $1,119.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.90 / $975.18 / $1,597.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,245.38 / $1,652.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.60 / $996.75 / $1,628.75