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Alaska rates for HCPCS 58345

Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.67 / $1,370.67 / $1,748.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.67 / $965.67 / $965.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.95 / $1,370.67 / $1,960.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.15 / $1,831.20 / $2,345.46
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.00 / $1,264.40 / $1,724.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.95 / $1,370.67 / $1,960.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.15 / $1,240.50 / $1,770.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.22 / $1,158.81 / $1,711.71