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Nationwide rates for HCPCS 58615

Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $4,365.16 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,456.54 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $870.96 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $398.11 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $575.44