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Maine rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.91 / $4,093.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $88.72 / $177.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.97 / $162.30 / $223.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $193.29 / $291.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.48 / $186.31 / $289.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.91 / $4,093.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $108.42 / $197.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.54 / $145.60 / $314.33