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Massachusetts 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
$1,778.28 / $3,311.31 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $1,047.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $8,317.64 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $537.03 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $660.69 / $1,230.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $707.95 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $575.44
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $645.65 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $8,709.64 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $15,488.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,288.25