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Alaska rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.40 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,342.64 / $4,342.64 / $5,675.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,096.55 / $3,096.55 / $3,096.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.41 / $4,342.64 / $6,209.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.30 / $5,747.70 / $7,427.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,421.25 / $3,968.65 / $5,572.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.41 / $4,342.64 / $6,209.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.25 / $3,954.00 / $5,686.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,415.10 / $2,477.23 / $5,554.73