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Maryland rates for HCPCS 58340

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

Facilitymedian $479 · 10th–90th $95–$1,1220%10%10th90th$479Professionalmedian $174 · 10th–90th $59–$4570%5%10th90th$174$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $186.21 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $141.25 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $131.83 / $223.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $134.90 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $371.54