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Keyhole Tube Blocking With Clips or Rings

Wisconsin 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 $12,303 · 10th–90th $5,754$20,4170%10%10th90th$12,303Professionalmedian $490 · 10th–90th $347$1,4130%10%10th90th$490$50.0$200.0$1.0K$5.0K$20.0K

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
$398.11
Median
$758.58
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$707.95
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,071.52
Typical High
$1,318.26
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$7,413.10
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$9,772.37
Typical High
$16,595.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$645.65
Typical High
$1,778.28
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
Network Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$10,715.19
Typical High
$17,378.01
Network Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$1,148.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$1,288.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$16,218.10
Typical High
$16,218.10
Quartz
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,778.28
Typical High
$2,818.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Security Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$14,125.38
Typical High
$17,378.01
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$616.60
Typical High
$1,548.82