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Washington, DC rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.45 / $2,464.00 / $4,975.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.42 / $82.42 / $136.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $109.10 / $5,478.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $143.62 / $363.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.04 / $365.07 / $365.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $9,894.00 / $27,728.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.94 / $191.58 / $423.72