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Georgia rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $3,258.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $130.75 / $249.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.63 / $3,839.45 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.43 / $157.22 / $290.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.02 / $188.10 / $288.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,811.32 / $2,811.32 / $2,811.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $154.35 / $296.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $161.25 / $219.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.27 / $162.05 / $301.24