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Wisconsin rates for HCPCS 58679

Unlisted Laparoscopy Procedure Oviduct Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.03 / $14,482.00 / $16,827.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.80 / $1,924.80 / $1,924.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $11,485.00 / $18,276.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,217.00 / $12,855.00 / $15,743.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,868.19 / $2,868.19 / $2,868.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,868.19 / $2,868.19 / $2,868.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00