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New Mexico 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
$172.52 / $172.52 / $2,145.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $114.42 / $301.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $107.21 / $298.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $136.27 / $304.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $39.54 / $329.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.53 / $138.44 / $264.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.67 / $144.44 / $524.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $1,158.00 / $1,401.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $228.81 / $417.39