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Texas 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
$474.00 / $2,172.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.38 / $291.12 / $425.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.01 / $1,815.91 / $5,348.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.13 / $232.63 / $436.15
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.67 / $1,030.73 / $2,413.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.97 / $249.97 / $249.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.83 / $393.46 / $600.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,496.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.88 / $2,149.12 / $2,446.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.44 / $370.02 / $606.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.68 / $431.55 / $507.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.70 / $381.70 / $381.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.44 / $378.77 / $731.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.83 / $398.68 / $610.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.12 / $314.77 / $507.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.73 / $274.63 / $379.73