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Virginia 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
$311.30 / $3,991.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.85 / $311.30 / $380.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.29 / $343.09 / $470.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.87 / $491.28 / $3,426.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.73 / $368.88 / $710.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.36 / $329.23 / $406.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.10 / $378.03 / $569.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.00 / $394.00 / $658.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.60 / $370.86 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.60 / $370.86 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.96 / $377.01 / $624.47