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Florida 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
$412.00 / $4,137.97 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.76 / $242.00 / $321.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $1,668.84 / $1,986.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.73 / $365.76 / $576.30
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.00 / $8,416.00 / $15,897.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.53 / $215.92 / $379.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.23 / $326.90 / $444.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.00 / $5,811.00 / $10,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.72 / $334.54 / $587.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.73 / $240.73 / $240.73