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Alaska rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.56 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.65 / $3,915.65 / $5,092.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.47 / $2,784.47 / $2,784.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.27 / $3,915.65 / $5,599.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.60 / $5,184.89 / $6,692.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,086.25 / $3,580.05 / $5,007.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.27 / $3,915.65 / $5,599.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.65 / $3,561.00 / $5,115.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.64 / $3,341.37 / $4,984.42