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Rhode Island 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
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $407.38 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $524.81