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California 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
$2,124.62 / $7,368.00 / $17,393.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.57 / $1,814.33 / $8,487.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,166.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.19 / $1,626.96 / $4,517.75
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $14,838.70
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.37 / $1,569.70 / $4,086.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,563.55 / $4,211.47 / $9,921.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.55 / $1,935.67 / $5,181.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.63 / $737.76 / $2,669.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.77 / $1,471.63 / $3,007.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.79 / $12,131.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,468.12 / $12,212.32 / $13,320.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.96 / $1,863.48 / $3,285.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.98 / $2,030.37 / $4,766.17
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,140.00 / $8,140.00 / $8,140.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.70 / $1,460.70 / $6,110.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,377.00 / $26,672.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.41 / $2,128.00 / $5,838.28