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Vermont rates for HCPCS 58671

Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $468.88 / $1,937.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.16 / $617.91 / $1,332.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.32 / $617.91 / $1,332.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.00 / $521.23 / $1,635.30