go back

Wyoming 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
$218.78 / $251.19 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $870.96