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Idaho rates for HCPCS 58615

Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach

Facilitymedian $4,365 · 10th–90th $398–$8,1280%10%10th90th$4,365Professionalmedian $302 · 10th–90th $229–$5130%10%20%10th90th$302$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,548.13 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $489.78 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $1,659.59
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $407.38 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $338.84 / $501.19