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Arkansas rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.48 / $1,688.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.18 / $1,034.48 / $1,265.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.60 / $1,174.77 / $1,174.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.90 / $1,469.38 / $1,595.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.65 / $1,077.55 / $1,735.90