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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
$2,951.21 / $8,709.64 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,548.82 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,445.44 / $5,248.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $6,165.95 / $16,595.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,819.70 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,819.70 / $3,890.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $3,019.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $50,118.72 / $50,118.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $13,182.57 / $13,182.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,290.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,819.70 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,778.28 / $4,168.69
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $12,302.69 / $25,118.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,479.11 / $3,467.37