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New Mexico 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
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.69 / $281.58 / $476.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.25 / $352.25 / $352.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $418.50 / $528.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $84.16 / $451.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.02 / $378.04 / $410.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.85 / $418.50 / $528.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.40 / $434.19 / $659.65