go back

Kentucky 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
$324.02 / $1,354.00 / $6,484.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.76 / $356.08 / $560.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,769.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.42 / $376.17 / $542.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.59 / $480.16 / $553.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.25 / $480.16 / $685.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.46 / $424.60 / $424.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.42 / $501.88 / $783.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $4,639.00 / $12,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.45 / $521.00 / $716.25