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Georgia 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
$776.25 / $5,370.32 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $275.42 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,168.69 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $575.44