go back

Massachusetts rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $2,398.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,754.23 / $6,606.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $2,691.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $831.76 / $1,230.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,318.26 / $1,949.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,019.95 / $7,585.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,174.90 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,290.87