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Indiana 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
$284.47 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.28 / $284.47 / $338.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.77 / $367.12 / $506.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.89 / $390.92 / $586.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.64 / $338.79 / $469.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.05 / $369.17 / $618.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.72 / $317.42 / $506.59