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Maryland 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
$95.50 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $190.55 / $501.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $63.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $141.25 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $158.49 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $128.82 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $275.42 / $398.11