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California rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $8,357.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.33 / $368.56 / $1,411.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,311.00 / $15,399.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.73 / $621.07 / $1,242.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $8,968.67
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.01 / $417.26 / $1,013.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.43 / $11,684.00 / $14,696.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.22 / $467.16 / $1,328.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.21 / $445.92 / $668.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.08 / $483.24 / $853.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.55 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $3,147.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.08 / $492.27 / $831.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.22 / $480.35 / $1,038.94
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,321.00 / $8,321.00 / $8,321.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.94 / $1,201.94 / $1,201.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.39 / $466.32 / $758.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,722.00 / $29,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.76 / $426.80 / $1,325.25