go back

Idaho rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.21 / $1,067.47 / $1,588.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.93 / $1,560.69 / $1,742.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.58 / $1,588.42 / $1,834.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.78 / $1,549.31 / $1,770.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,259.20 / $1,584.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.53 / $1,402.53 / $1,709.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.67 / $1,388.99 / $1,846.13