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New Jersey 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
$565.58 / $5,905.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.64 / $1,533.46 / $2,327.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.00 / $3,438.00 / $3,438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.87 / $1,813.61 / $5,239.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.80 / $2,397.61 / $2,942.36
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,999.06 / $12,001.50 / $22,888.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.42 / $1,676.70 / $3,133.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.90 / $2,531.21 / $4,360.46