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Arizona rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.30 / $887.10 / $4,760.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.94 / $1,037.26 / $1,296.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.02 / $1,087.99 / $1,934.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.54 / $1,211.76 / $6,063.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.16 / $1,028.03 / $7,322.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.16 / $984.96 / $1,745.68