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Louisiana rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,691.53 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,585.78 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,288.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,090.30 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,513.56