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Arkansas rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.64 / $1,397.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $101.73 / $143.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.07 / $4,714.07 / $5,656.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.04 / $123.59 / $178.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,558.75 / $3,558.75 / $3,558.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.53 / $146.26 / $211.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,806.00 / $11,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.54 / $130.63 / $248.52