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Washington, DC rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,673.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.71 / $757.71 / $757.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.01 / $1,063.45 / $1,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.60 / $1,210.20 / $2,344.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.79 / $2,058.73 / $2,058.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.10 / $1,876.10 / $2,389.46