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Rhode Island rates for HCPCS 58750

Tubotubal Anastatomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.62 / $919.60 / $1,261.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.65 / $1,120.76 / $1,826.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,362.16 / $1,954.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $9,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.62 / $1,305.09 / $1,870.61