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Washington, DC rates for HCPCS 58750

Tubotubal Anastatomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.81 / $759.81 / $759.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,200.11 / $9,067.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.22 / $1,278.39 / $2,350.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.72 / $2,064.39 / $2,064.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.56 / $2,276.21 / $2,396.02