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Vermont rates for HCPCS 58750

Tubotubal Anastatomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.73 / $1,156.73 / $4,760.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.11 / $1,502.59 / $3,243.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.27 / $1,502.59 / $3,243.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.15 / $1,283.24 / $3,980.48