go back

Wyoming rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.02 / $835.02 / $835.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $1,848.00 / $2,772.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.97 / $1,381.93 / $1,858.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.31 / $2,003.62 / $3,197.04