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Nevada 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
$1,148.15 / $2,884.03 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $426.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $2,691.53
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $2,691.53
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $446.68