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New York 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
$80.63 / $2,303.00 / $7,185.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $132.62 / $406.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $260.86 / $260.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,366.00 / $4,707.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.22 / $173.30 / $407.91
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.39 / $80.39 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.39 / $80.39 / $330.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $186.20 / $521.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.69 / $105.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.49 / $354.73 / $668.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.41 / $279.06 / $484.20
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.48 / $257.01 / $289.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $962.78 / $1,693.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $334.33 / $362.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.52 / $222.89 / $539.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.00 / $2,884.00 / $4,840.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.95 / $268.33 / $564.50
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.78 / $65.78 / $207.46
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.41 / $274.19 / $484.20