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Oregon 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
$912.01 / $3,801.89 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,445.44 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,698.24 / $5,011.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,238.72 / $4,570.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $2,398.83 / $3,630.78
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $3,548.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,905.46 / $4,168.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,174.90 / $4,365.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $15,848.93 / $19,054.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $17,378.01 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,862.09 / $4,570.88