go back

Alabama 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
$870.96 / $1,445.44 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $398.11