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Arizona rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.75 / $3,014.50 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $111.91 / $249.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.37 / $129.13 / $193.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.10 / $4,100.10 / $4,100.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $119.52 / $224.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $144.44 / $4,571.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $144.21 / $1,142.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.59 / $130.32 / $261.27