# CPT 58671: Laparoscopy W/plmt Occlusion Device Oviducts

Medicare CPT 58671 pays $333.01 in a non-facility setting and $333.01 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $301.46 in Arkansas to $420.83 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/58671-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $333.01 |
| National facility | $333.01 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $420.83 | $420.83 |
| New York | $366.69 | $366.69 |
| District of Columbia | $366.21 | $366.21 |
| Florida | $365.62 | $365.62 |
| Illinois | $361.12 | $361.12 |
| New Jersey | $359.15 | $359.15 |
| Connecticut | $352.21 | $352.21 |
| Washington | $346.79 | $346.79 |
| Massachusetts | $346.32 | $346.32 |
| California | $343.84 | $343.84 |
| Maryland | $342.68 | $342.68 |
| Michigan | $340.39 | $340.39 |
| Rhode Island | $336.50 | $336.50 |
| Georgia | $335.09 | $335.09 |
| Pennsylvania | $334.91 | $334.91 |
| Colorado | $334.67 | $334.67 |
| West Virginia | $333.73 | $333.73 |
| Puerto Rico | $333.67 | $333.67 |
| Virgin Islands | $333.67 | $333.67 |
| Hawaii | $333.26 | $333.26 |
| New Hampshire | $333.12 | $333.12 |
| Montana | $332.94 | $332.94 |
| New Mexico | $331.01 | $331.01 |
| Oregon | $330.83 | $330.83 |
| Texas | $329.99 | $329.99 |
| Delaware | $329.25 | $329.25 |
| Nevada | $327.42 | $327.42 |
| Louisiana | $325.34 | $325.34 |
| Arizona | $324.80 | $324.80 |
| Wyoming | $324.15 | $324.15 |
| Ohio | $324.01 | $324.01 |
| Missouri | $323.70 | $323.70 |
| Utah | $323.14 | $323.14 |
| Virginia | $321.18 | $321.18 |
| South Carolina | $319.80 | $319.80 |
| Kentucky | $318.28 | $318.28 |
| Maine | $315.55 | $315.55 |
| Vermont | $315.11 | $315.11 |
| Oklahoma | $314.01 | $314.01 |
| North Carolina | $313.57 | $313.57 |
| North Dakota | $312.77 | $312.77 |
| Minnesota | $312.11 | $312.11 |
| South Dakota | $310.39 | $310.39 |
| Mississippi | $309.30 | $309.30 |
| Indiana | $307.72 | $307.72 |
| Tennessee | $307.54 | $307.54 |
| Idaho | $306.53 | $306.53 |
| Kansas | $305.88 | $305.88 |
| Wisconsin | $304.96 | $304.96 |
| Alabama | $304.90 | $304.90 |
| Nebraska | $303.61 | $303.61 |
| Iowa | $303.41 | $303.41 |
| Arkansas | $301.46 | $301.46 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 58671 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules