go back

Arizona rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.53 / $224.86 / $1,116.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.01 / $270.24 / $336.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.44 / $300.44 / $300.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.80 / $276.64 / $497.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.98 / $285.95 / $1,216.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.04 / $283.23 / $3,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,423.00 / $2,210.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.89 / $266.77 / $532.19