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Massachusetts rates for HCPCS 58565

Hysteroscopy Bi Tube Occlusion W/Perm Implnts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $2,671.00 / $4,712.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.64 / $1,375.78 / $2,785.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.85 / $5,063.00 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.62 / $3,103.10 / $12,378.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.96 / $692.85 / $1,361.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.62 / $1,986.53 / $5,301.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.33 / $971.78 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.74 / $1,967.62 / $2,959.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.12 / $1,933.72 / $4,293.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.64 / $4,443.05 / $12,378.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.29 / $3,558.04 / $7,294.67