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Colorado 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
$1,862.09 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,456.54 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $1,737.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,754.40 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $660.69