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Indiana rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.32 / $1,628.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.84 / $975.32 / $1,161.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.57 / $1,164.49 / $1,653.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.59 / $1,172.03 / $1,352.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.56 / $1,036.79 / $1,352.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.67 / $1,263.40 / $2,141.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.92 / $1,111.17 / $1,851.53