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Missouri 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
$851.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.53 / $281.94 / $800.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.77 / $358.00 / $537.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.70 / $416.72 / $716.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.61 / $423.89 / $3,972.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.20 / $447.69 / $2,149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.22 / $388.00 / $635.95