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Indiana rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.26 / $1,386.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.48 / $808.26 / $962.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.65 / $1,058.76 / $1,461.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.98 / $1,440.18 / $1,772.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.81 / $1,329.39 / $1,384.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.75 / $1,023.43 / $1,754.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.73 / $942.45 / $1,575.02