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California rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,475.23 / $6,695.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.45 / $249.11 / $1,315.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $6,986.00 / $13,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $394.00 / $754.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,011.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.73 / $294.64 / $721.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.08 / $2,499.65 / $5,888.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.83 / $330.13 / $972.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.08 / $387.57 / $836.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.11 / $330.41 / $581.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,637.65 / $9,496.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $2,806.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.33 / $343.63 / $561.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.83 / $339.24 / $713.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.15 / $816.15 / $816.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.86 / $318.63 / $947.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,402.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.52 / $300.06 / $738.89