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North Dakota rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.60 / $905.60 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.16 / $905.60 / $905.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.89 / $1,932.00 / $2,316.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.40 / $2,104.27 / $2,717.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.60 / $1,266.34 / $2,716.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.47 / $1,757.35 / $2,340.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.47 / $1,871.76 / $2,340.32