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Keyhole Tube Blocking With Clips or Rings

South Dakota 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 $759 · 10th–90th $339$4,3650%20%10th90th$759Professionalmedian $437 · 10th–90th $316$8710%10%20%10th90th$437$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$338.84
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$954.99
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$2,818.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$616.60
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$707.95
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$870.96