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Kansas 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
$891.25 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,801.89 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $398.11 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $288.40 / $398.11