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Virginia 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
$486.50 / $5,087.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.50 / $1,493.55 / $2,026.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.72 / $1,226.78 / $2,261.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.90 / $707.75 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.71 / $1,502.77 / $3,317.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.05 / $1,797.66 / $2,235.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.50 / $1,496.77 / $3,310.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,224.00 / $2,620.00 / $3,814.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.18 / $594.32 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.95 / $2,512.50 / $7,822.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.58 / $2,747.89 / $4,064.51