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Arkansas 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
$295.12 / $1,412.54 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $478.63