go back

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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $338.84 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,162.28 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $489.78 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $467.74 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $478.63 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $562.34