go back

Virginia rates for HCPCS 58340

Cath & Saline/Contrast Sonohyster/Hysterosalpi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.36 / $1,528.89 / $5,328.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.89 / $114.42 / $290.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.47 / $141.88 / $347.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.56 / $60.56 / $778.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.05 / $141.99 / $401.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.39 / $270.47 / $331.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.26 / $161.63 / $320.94
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $179.29 / $287.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.69 / $80.41 / $164.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.88 / $246.51 / $539.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,148.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.62 / $219.42 / $438.92