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Alaska rates for HCPCS 58350

Chromotubation of oviduct, including materials

Facilitymedian $263 · 10th–90th $107–$9,7720%5%10%10th90th$263Professionalmedian $145 · 10th–90th $87–$4900%10%10th90th$145$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $3,890.45 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $131.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $123.03 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $190.55 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $354.81 / $977.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $537.03 / $660.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $165.96 / $676.08
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $213.80 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $316.23 / $562.34