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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,380.38 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,623.41 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $2,511.89 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $954.99 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,344.23 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,778.28 / $3,235.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,220.18 / $16,218.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $2,754.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,479.11 / $3,311.31