go back

Oregon rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,010.49 / $9,972.00 / $20,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.68 / $1,059.21 / $4,760.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.98 / $1,997.70 / $2,696.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.70 / $2,065.39 / $2,325.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.21 / $1,765.17 / $2,509.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.58 / $1,592.10 / $2,903.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.16 / $1,697.76 / $1,839.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.21 / $1,967.65 / $2,342.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.79 / $2,135.09 / $2,707.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,401.14 / $8,924.50 / $21,189.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.03 / $2,249.81 / $2,876.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,835.00 / $26,404.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.08 / $1,993.74 / $2,877.42