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Kentucky rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.74 / $195.58 / $2,920.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $111.91 / $153.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $94.96 / $147.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.96 / $119.36 / $137.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.46 / $136.41 / $265.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.94 / $156.88 / $156.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.17 / $125.90 / $251.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.26 / $138.80 / $238.73