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North Carolina rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.90 / $1,615.00 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $900.90 / $1,515.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.32 / $1,588.38 / $2,218.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.29 / $1,475.68 / $2,331.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.28 / $1,152.51 / $2,255.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.51 / $1,152.51 / $2,290.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,296.20 / $2,303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.05 / $1,246.92 / $2,998.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,891.27 / $10,042.62
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,322.65 / $7,322.65 / $7,671.60