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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

Facilitymedian $251 · 10th–90th $229–$8,5110%20%10th90th$251Professionalmedian $316 · 10th–90th $229–$6310%10%20%10th90th$316$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $251.19 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $741.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,128.61 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $630.96