| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Medcost
| Facility | $92.22 | $92.22 | $299.25 | |
Medcost
| Professional | $155.54 | $227.90 | $356.00 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,032.00 | $6,548.00 | $7,221.00 | |
Medcost
| Facility | $92.22 | $92.22 | $299.25 | |
Medcost
| Professional | $155.54 | $227.90 | $356.00 |