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Maryland rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.39 / $699.17 / $4,290.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.97 / $989.66 / $1,131.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.93 / $1,113.49 / $2,118.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.20 / $1,133.43 / $1,836.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.05 / $978.26 / $1,662.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.88 / $980.03 / $1,209.56