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Alaska rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $501.19 / $2,454.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $2,570.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,778.28 / $2,511.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $346.74 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $2,344.23