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North Carolina rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.34 / $5,876.00 / $9,181.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $368.56 / $887.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.35 / $644.98 / $992.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.24 / $594.72 / $948.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.61 / $562.83 / $923.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.41 / $463.41 / $928.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $605.00 / $946.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,688.00 / $15,870.00 / $22,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.95 / $499.46 / $1,047.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.55 / $16,223.75 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $3,147.90