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Virginia rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.80 / $5,412.00 / $11,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.81 / $999.80 / $1,130.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.69 / $1,077.60 / $1,477.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,585.48 / $8,031.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.30 / $1,196.96 / $2,265.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.78 / $1,032.94 / $1,273.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.05 / $1,207.09 / $1,754.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.00 / $1,281.00 / $2,129.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.95 / $1,188.84 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.95 / $1,188.84 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.02 / $1,300.45 / $2,005.60