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Alaska rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.90 / $9,577.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $111.91 / $678.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.12 / $283.12 / $395.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.33 / $608.16 / $950.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.48 / $598.50 / $969.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.75 / $521.82 / $696.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.33 / $608.16 / $950.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.28 / $436.80 / $652.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.76 / $474.09 / $565.25