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Arizona 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
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.63 / $281.87 / $1,498.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.93 / $330.58 / $413.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.43 / $3,084.43 / $3,084.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.45 / $335.35 / $602.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.68 / $377.91 / $3,787.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.69 / $322.52 / $2,149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.88 / $305.99 / $570.50