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Vermont rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.41 / $1,026.41 / $4,174.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.03 / $1,307.04 / $2,821.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.40 / $1,322.95 / $2,821.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.61 / $1,125.99 / $3,462.71