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Maryland rates for HCPCS 58960

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.32 / $925.22 / $2,426.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.56 / $1,135.56 / $1,297.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.77 / $1,285.04 / $2,559.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.49 / $1,385.18 / $2,182.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.15 / $1,086.55 / $1,958.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.40 / $1,197.71 / $1,477.68