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Louisiana rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.05 / $1,134.63 / $1,378.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.78 / $1,227.17 / $1,606.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.74 / $1,090.93 / $1,756.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.19 / $1,169.32 / $1,929.30