go back

Kansas 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
$1,495.00 / $3,569.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.94 / $281.94 / $420.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.00 / $2,089.51 / $3,313.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.80 / $442.12 / $442.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.95 / $437.15 / $575.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $408.25 / $3,595.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $384.13 / $2,149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.77 / $332.93 / $552.15