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New Jersey 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
$273.18 / $4,516.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.28 / $278.02 / $490.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $441.85 / $793.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.35 / $450.27 / $537.36
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,238.19 / $6,238.19 / $14,742.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.19 / $305.89 / $577.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.32 / $369.28 / $651.00