go back

Virginia rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.31 / $5,895.00 / $14,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.55 / $880.07 / $1,104.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.58 / $938.09 / $1,286.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.93 / $1,292.18 / $5,354.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.06 / $1,062.13 / $1,989.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.33 / $899.20 / $1,109.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.06 / $1,057.88 / $1,584.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.00 / $1,120.00 / $1,853.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.09 / $1,056.56 / $7,902.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.09 / $1,056.56 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.42 / $1,095.11 / $1,743.78