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California 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
$1,335.00 / $5,322.00 / $17,054.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.85 / $285.95 / $1,498.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,718.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.46 / $455.04 / $855.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,011.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.39 / $327.35 / $799.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.08 / $2,499.65 / $5,888.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.56 / $360.57 / $1,010.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.72 / $357.19 / $2,347.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $375.79 / $661.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,339.80 / $9,496.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.88 / $2,149.12 / $2,446.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.02 / $373.68 / $564.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.99 / $371.93 / $805.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.49 / $929.49 / $929.49
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.18 / $360.32 / $1,602.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,384.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.72 / $342.06 / $959.87