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Wyoming rates for HCPCS 58750

Tubotubal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.13 / $925.13 / $925.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.00 / $2,047.00 / $3,071.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.94 / $1,530.32 / $2,228.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.04 / $2,227.73 / $3,556.07