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Virginia rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.40 / $5,412.00 / $11,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.39 / $899.40 / $1,087.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.63 / $972.68 / $1,334.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.45 / $1,108.42 / $1,929.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.06 / $1,069.10 / $2,040.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.71 / $932.05 / $1,149.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.98 / $1,089.36 / $1,579.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.00 / $1,135.00 / $1,922.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.63 / $1,069.48 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.63 / $1,069.48 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.30 / $1,107.78 / $1,793.37