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Mississippi 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
$630.96 / $1,513.56 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $575.44