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West 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
$271.10 / $271.10 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $271.10 / $311.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.38 / $342.36 / $373.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $331.57 / $331.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.06 / $330.06 / $330.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.22 / $386.83 / $1,496.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.20 / $346.13 / $485.03