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Idaho 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
$769.53 / $769.53 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.98 / $439.05 / $646.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.45 / $634.65 / $708.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.70 / $646.66 / $738.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.83 / $633.32 / $725.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $515.64 / $648.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,788.65 / $14,025.11 / $17,482.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $698.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.08 / $480.16 / $741.88