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Alaska rates for HCPCS 58565

Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.50 / $7,204.31 / $9,848.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.09 / $1,507.09 / $5,408.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.32 / $3,024.70 / $10,086.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.23 / $3,693.30 / $10,108.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.95 / $2,767.43 / $10,534.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.32 / $3,024.70 / $10,086.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.16 / $2,767.43 / $10,534.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,327.00 / $6,490.50 / $10,140.42