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Connecticut rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.00 / $8,031.00 / $13,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.54 / $1,400.48 / $2,265.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,755.84 / $15,054.00 / $18,574.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.69 / $1,873.59 / $2,222.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.60 / $1,556.75 / $2,521.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.14 / $1,513.82 / $1,513.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.00 / $8,250.00 / $11,880.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.23 / $1,322.27 / $2,667.74