go back

North Carolina 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
$285.95 / $5,449.00 / $8,943.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.95 / $285.95 / $549.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.32 / $501.36 / $758.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.89 / $457.27 / $736.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.95 / $374.00 / $717.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.92 / $357.92 / $719.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $434.50 / $736.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.99 / $381.63 / $814.73
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,339.80 / $9,496.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.88 / $2,084.88 / $2,446.58