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California rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,932.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.55 / $248.38 / $1,228.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.27 / $364.98 / $722.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,403.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.85 / $272.64 / $654.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.02 / $243.48 / $573.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.39 / $318.85 / $1,260.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $294.06 / $352.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.29 / $290.26 / $498.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.54 / $1,719.90 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,100.00 / $3,100.00 / $3,100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.24 / $318.66 / $503.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.59 / $337.59 / $878.24
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.84 / $692.84 / $828.68
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.99 / $255.43 / $326.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $1,523.00 / $7,504.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.01 / $307.12 / $858.42