go back

Michigan rates for HCPCS 58345

Transcerv Fallopian Tube Cath W/Wo Hystosalping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.17 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.93 / $344.17 / $358.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.72 / $2,121.83 / $2,890.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $412.53 / $724.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.56 / $311.45 / $594.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.89 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.89 / $328.16 / $509.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.06 / $292.41 / $430.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.72 / $363.25 / $464.96