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Michigan rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.74 / $185.47 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $104.64 / $185.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,325.52 / $3,881.88 / $5,288.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.12 / $141.91 / $223.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $132.21 / $227.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.11 / $233.69 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.11 / $127.41 / $233.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $136.45 / $195.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,598.44 / $7,855.00 / $12,184.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.49 / $135.93 / $245.86