| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $199.82 | $389.03 | $418.09 | |
Lucent Health
| Professional | $834.02 | $834.02 | $834.02 |
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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $199.82 | $389.03 | $418.09 | |
Lucent Health
| Professional | $834.02 | $834.02 | $834.02 |