| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,570.40 | $5,128.61 | $13,803.84 | |
United
| Facility | $776.25 | $2,137.96 | $6,456.54 | |
United
| Professional | $162.18 | $245.47 | $407.38 |
Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,570.40 | $5,128.61 | $13,803.84 | |
United
| Facility | $776.25 | $2,137.96 | $6,456.54 | |
United
| Professional | $162.18 | $245.47 | $407.38 |
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