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Louisiana rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.17 / $1,020.62 / $1,239.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,471.45 / $7,638.79 / $10,737.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.06 / $1,106.45 / $1,443.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.85 / $981.29 / $1,582.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.14 / $1,160.68 / $1,735.45