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Indiana 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
$501.19 / $2,511.89 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,380.38 / $2,290.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $19,054.61 / $28,183.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,258.93 / $3,801.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,819.70 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $1,862.09 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,445.44 / $2,884.03