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West Virginia 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
$204.17 / $407.38 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $165.96 / $489.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $79.43 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $181.97 / $2,951.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $120.23 / $309.03