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North Dakota 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
$229.09 / $251.19 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $251.19 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $416.87 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $616.60