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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
$354.81 / $2,238.72 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $162.18 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $60.26 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $223.87 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $199.53 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $131.83 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $194.98 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,230.27 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $114.82 / $263.03