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Minnesota rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.87 / $146.97 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $112.95 / $187.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,948.13 / $9,426.86 / $18,388.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $320.64 / $545.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.28 / $550.63 / $1,324.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.97 / $398.46 / $654.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.64 / $502.49 / $1,043.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.52 / $325.92 / $605.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.52 / $195.94 / $5,082.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.22 / $354.48 / $708.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,991.00 / $9,787.00 / $16,331.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $317.37 / $514.34