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Georgia rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.99 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.23 / $999.40 / $2,298.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.18 / $5,523.39 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.06 / $1,334.84 / $2,386.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.15 / $1,868.12 / $2,868.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.09 / $1,551.00 / $2,565.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.33 / $1,163.93 / $2,491.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.37 / $1,329.07 / $2,394.65