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Vermont 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
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $1,023.29