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Louisiana rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.33 / $1,743.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $123.01 / $196.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,954.16 / $6,818.36 / $9,653.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.50 / $147.28 / $230.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,919.46 / $3,919.46 / $3,919.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.81 / $151.36 / $245.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $3,820.00 / $10,826.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $143.69 / $250.23