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Kentucky 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
$239.88 / $2,630.27 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $257.04 / $371.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $316.23 / $371.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,754.23 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $478.63