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Virginia 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
$405.32 / $5,091.00 / $14,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $405.31 / $588.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,525.00 / $11,065.00 / $12,418.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $442.13 / $606.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.97 / $593.47 / $4,716.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.98 / $481.19 / $917.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.15 / $423.78 / $522.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.89 / $494.27 / $741.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.00 / $511.00 / $874.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.09 / $481.95 / $7,902.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.09 / $481.95 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.49 / $531.78 / $810.94