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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.21 / $339.65 / $504.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.57 / $490.11 / $550.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.35 / $502.85 / $569.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.40 / $487.06 / $564.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $400.72 / $504.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.54 / $446.54 / $543.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.98 / $428.35 / $567.79