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Massachusetts rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,019.95 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $288.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $6,309.57 / $45,708.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $204.17 / $407.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $707.95 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $147.91 / $251.19
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $371.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,265.80 / $5,370.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $6,456.54 / $45,708.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $173.78 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,248.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $177.83 / $380.19