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Georgia rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.85 / $5,809.00 / $12,390.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.19 / $405.20 / $1,016.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.72 / $680.72 / $680.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.47 / $4,429.60 / $9,365.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.18 / $568.48 / $990.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,186.00 / $7,258.00 / $10,047.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.27 / $627.78 / $991.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.65 / $476.65 / $838.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.99 / $527.55 / $843.85