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Delaware 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
$870.45 / $6,907.00 / $18,033.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $338.70 / $362.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.11 / $469.29 / $556.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.07 / $429.03 / $843.63