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Oregon 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
$512.86 / $645.65 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $416.87 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $660.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $363.08 / $588.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $489.78 / $676.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $9,772.37 / $11,748.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,772.37 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $691.83