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Arizona 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
$2,100.00 / $4,521.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.33 / $368.56 / $808.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,613.46 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.10 / $425.46 / $531.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,269.46 / $5,269.46 / $5,269.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.83 / $437.14 / $783.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.72 / $486.25 / $9,383.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.24 / $416.13 / $2,806.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.64 / $385.20 / $733.97