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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
$204.92 / $407.96 / $1,120.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.97 / $123.77 / $482.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $77.31 / $90.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.93 / $465.63 / $484.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.61 / $180.40 / $438.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.66 / $655.66 / $1,187.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.56 / $98.56 / $98.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $212.36 / $358.48