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Virginia 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
$269.15 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $676.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $602.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $338.84 / $524.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $338.84 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $524.81