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Tennessee 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
$575.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.75 / $329.05 / $380.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,549.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.94 / $358.28 / $581.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $393.64 / $606.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,496.40 / $9,496.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.88 / $2,149.12 / $2,446.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,616.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.87 / $405.28 / $588.26