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Rhode Island rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,243.94 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.68 / $368.88 / $510.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.28 / $460.33 / $730.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $543.94 / $763.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,596.00 / $7,457.00 / $12,945.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.77 / $528.99 / $767.43