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Alabama rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.40 / $800.00 / $2,080.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $125.40 / $201.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,032.30 / $3,670.84 / $4,938.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $105.35 / $168.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.09 / $110.57 / $370.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,614.00 / $5,904.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.45 / $119.34 / $193.71