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Louisiana 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
$371.93 / $1,300.00 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.51 / $354.36 / $430.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.91 / $4,043.42 / $5,890.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.00 / $388.90 / $498.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.66 / $345.23 / $548.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.62 / $354.62 / $602.54