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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
$251.11 / $1,338.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.11 / $251.11 / $411.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.65 / $417.90 / $611.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.30 / $417.45 / $649.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.11 / $344.00 / $633.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.13 / $314.13 / $630.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $417.20 / $650.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $348.71 / $687.01
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,637.65 / $9,496.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $2,806.88