go back

Mississippi rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.01 / $1,049.80 / $2,166.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.62 / $101.73 / $265.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.27 / $2,361.27 / $2,361.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.00 / $192.00 / $192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,302.41 / $2,302.41 / $6,919.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $139.94 / $204.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $3,559.00 / $8,974.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $133.81 / $263.38