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Florida rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.50 / $5,839.00 / $12,669.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.26 / $815.43 / $1,041.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.41 / $1,214.66 / $1,891.48
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.16 / $680.54 / $1,197.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $822.32 / $1,220.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.00 / $8,136.00 / $12,748.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.62 / $1,076.06 / $1,898.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.59 / $755.59 / $755.59