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Delaware rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.19 / $829.19 / $888.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.33 / $1,153.54 / $1,402.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.03 / $1,068.33 / $2,082.98