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New Jersey rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.33 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.43 / $892.35 / $1,581.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $1,387.59 / $2,594.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.58 / $1,408.02 / $1,684.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.33 / $1,007.91 / $1,977.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.62 / $1,164.10 / $2,128.21