go back

Florida 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
$1,022.00 / $7,671.00 / $15,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.19 / $322.68 / $485.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.40 / $336.40 / $336.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,851.07 / $11,754.00 / $30,357.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.39 / $483.16 / $765.91
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.77 / $277.25 / $487.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $370.41 / $519.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.00 / $12,923.00 / $19,866.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.77 / $440.97 / $756.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.47 / $286.47 / $286.47