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Illinois rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $2,137.96 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,309.57 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $177.83 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $213.80 / $478.63
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $117.49 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $234.42