go back

Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,548.13 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $478.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $457.09 / $2,884.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $416.87 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $501.19