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Washington, DC 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
$213.80 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $2,818.38 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $251.19 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $13,489.63 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $645.65