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Keyhole Surgery to Open a Blocked Fallopian Tube

West Virginia rates for HCPCS 58673

Uses a camera and slim instruments through small abdominal incisions to create a new opening at the outer end of a fallopian tube that has sealed shut, folding the edges back so it stays open. A blocked tube traps fluid and prevents the egg from reaching the womb. It is done to improve the chance of natural pregnancy.

Facilitymedian $2,570 · 10th–90th $741$3,0200%20%40%10th90th$2,570Professionalmedian $759 · 10th–90th $646$1,4130%20%40%10th90th$759$1.0K$2.0K$5.0K$10.0K$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
$741.31
Median
$2,570.40
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,412.54