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Illinois rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.54 / $1,137.50 / $4,944.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $118.62 / $213.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.17 / $2,170.36 / $8,387.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $178.17 / $276.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.00 / $709.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.54 / $159.01 / $247.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $215.36 / $431.38
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
$112.14 / $116.57 / $200.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $231.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $5,272.00 / $9,762.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.54 / $167.84 / $317.45