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Arkansas rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.04 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.95 / $929.04 / $1,140.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.04 / $1,060.20 / $1,060.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.52 / $1,302.01 / $1,427.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.32 / $1,057.56 / $1,661.54