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North Dakota rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.61 / $161.15 / $5,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $101.73 / $249.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.39 / $243.26 / $383.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $233.76 / $472.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $127.67 / $262.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $192.44 / $333.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,577.37 / $9,577.37 / $9,577.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.83 / $234.21 / $333.58