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Missouri rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.21 / $1,944.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $118.35 / $249.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.28 / $111.94 / $196.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $149.30 / $305.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.68 / $174.56 / $4,962.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.96 / $217.55 / $1,142.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.00 / $3,700.00 / $7,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.40 / $165.09 / $292.31