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Massachusetts rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.35 / $975.15 / $2,143.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $3,016.47 / $9,401.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.13 / $1,911.08 / $7,322.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.27 / $1,843.89 / $3,388.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.52 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.29 / $1,026.46 / $1,654.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.08 / $2,222.42 / $2,821.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $10,042.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.82 / $1,911.08 / $7,322.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.16 / $1,410.87 / $3,038.36