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New Jersey 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
$360.49 / $5,982.00 / $11,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $365.10 / $633.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.72 / $578.85 / $1,038.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.70 / $580.26 / $691.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,446.90 / $12,835.39 / $27,051.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.95 / $414.22 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.86 / $475.56 / $842.14