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Ohio 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
$345.78 / $4,723.00 / $10,817.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.99 / $246.99 / $652.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,792.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.49 / $300.91 / $523.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.45 / $286.14 / $354.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.30 / $262.30 / $269.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.18 / $346.12 / $504.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.30 / $354.00 / $504.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.92 / $274.18 / $384.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,233.00 / $4,383.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.69 / $322.25 / $528.91