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Arizona rates for HCPCS 58340

Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.90 / $2,202.00 / $6,060.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $116.98 / $340.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.05 / $220.26 / $220.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.94 / $276.25 / $457.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $183.06 / $299.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.32 / $131.31 / $342.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.98 / $177.27 / $593.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.72 / $248.86 / $2,881.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.56 / $186.15 / $427.24