go back

Pennsylvania 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
$831.76 / $4,265.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $354.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $741.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $575.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $1,122.02
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $588.84 / $794.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $478.63 / $478.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $741.31