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Georgia 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
$2,187.76 / $6,606.93 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,244.36 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $812.83