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Maryland rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.15 / $1,991.15 / $1,991.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.93 / $286.64 / $724.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.87 / $341.17 / $389.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.51 / $1,765.51 / $1,765.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $384.49 / $747.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.22 / $400.62 / $645.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.77 / $343.97 / $658.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.61 / $346.40 / $427.28