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California rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $9,006.00 / $19,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.03 / $868.93 / $4,746.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,019.73 / $9,729.07 / $20,083.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.53 / $1,400.50 / $2,692.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,509.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.89 / $1,017.53 / $2,496.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.41 / $1,137.68 / $3,308.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.29 / $1,102.52 / $1,302.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.06 / $1,154.14 / $2,055.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,874.33 / $7,434.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,710.08 / $6,731.68 / $7,648.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.88 / $1,184.00 / $1,849.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.80 / $1,156.13 / $2,559.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.35 / $2,945.35 / $2,945.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.38 / $993.13 / $1,205.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.90 / $1,046.97 / $3,022.02