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Florida 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
$933.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,659.59 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $645.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $10,715.19 / $21,379.62
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $173.78 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $5,623.41 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $234.42