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Pennsylvania 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
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $288.40 / $794.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $354.81 / $575.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $436.52
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,011.87 / $6,025.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,344.23 / $7,943.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $912.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $588.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $602.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $338.84 / $407.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $288.40 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $575.44