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Wisconsin rates for HCPCS 58605

Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.25 / $684.77 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.83 / $364.25 / $3,145.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.00 / $9,695.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.25 / $877.04 / $1,822.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.28 / $1,019.33 / $1,644.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.17 / $993.66 / $1,381.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.61 / $409.65 / $1,469.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.25 / $1,469.52 / $6,150.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.02 / $804.18 / $1,596.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $251.62 / $696.21
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.61 / $409.65 / $1,469.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.05 / $1,012.79 / $1,202.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.50 / $4,217.50 / $4,217.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.19 / $1,608.35 / $2,806.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.88 / $830.88 / $830.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.20 / $1,815.27 / $1,815.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.00 / $4,155.00 / $5,865.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.30 / $908.57 / $1,409.72