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Keyhole Tube Blocking With Clips or Rings

Montana rates for HCPCS 58671

Permanent birth control carried out through keyhole surgery: a camera and instruments are passed through small cuts in the abdomen, and each fallopian tube is closed off with a clip, band or ring so eggs can no longer meet sperm.

Facilitymedian $646 · 10th–90th $603$16,5960%50%10th90th$646Professionalmedian $437 · 10th–90th $324$9330%20%10th90th$437$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$436.52
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$741.31
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$741.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$407.38
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,023.29