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North Carolina 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
$354.81 / $891.25 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $602.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $338.84 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $457.09 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,244.36 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $575.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $9,549.93 / $9,549.93
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38