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Maryland rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.81 / $773.49 / $4,760.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,101.03 / $1,535.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.22 / $1,234.33 / $2,347.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.69 / $1,256.44 / $2,031.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.22 / $1,125.59 / $2,396.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.39 / $1,206.64 / $1,340.72