go back

Louisiana rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.10 / $1,230.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.92 / $295.89 / $365.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.93 / $557.00 / $896.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.99 / $331.66 / $404.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.62 / $295.58 / $436.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.00 / $543.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.32 / $317.45 / $529.41