go back

Wisconsin rates for HCPCS 58611

Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $151.36 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $165.96 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $11,220.18 / $19,054.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $141.25 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $218.78 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $223.87 / $251.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $3,981.07 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $2,691.53 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $141.25 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $102.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $165.96 / $239.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $4,265.80 / $4,265.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $537.03 / $1,995.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $398.11 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $323.59