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Montana rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.45 / $3,546.45 / $3,546.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $101.73 / $249.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.43 / $151.43 / $244.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.43 / $151.43 / $151.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.97 / $151.43 / $244.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.07 / $167.70 / $180.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.24 / $159.47 / $252.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $209.95 / $381.49