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Iowa rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $10,506.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.88 / $1,103.53 / $1,103.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.97 / $2,240.15 / $2,508.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.72 / $1,472.47 / $2,480.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.33 / $2,245.02 / $7,799.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.33 / $2,111.35 / $7,322.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.21 / $2,061.64 / $2,696.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.21 / $1,991.97 / $2,696.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,649.70 / $2,303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.33 / $1,797.27 / $2,840.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.50 / $1,725.50 / $2,030.00