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Kentucky rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.78 / $637.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.91 / $242.61 / $297.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.03 / $259.35 / $374.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.45 / $325.64 / $375.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.86 / $325.64 / $465.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.02 / $289.02 / $307.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.08 / $336.24 / $526.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.69 / $347.39 / $492.98