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Nebraska rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,070.51 / $7,119.04 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $143.68 / $303.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,779.83 / $7,833.15 / $14,704.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.81 / $179.31 / $290.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.06 / $286.11 / $436.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.58 / $199.92 / $7,307.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $258.33 / $1,142.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.09 / $305.52 / $4,006.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.12 / $214.36 / $355.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $137.19 / $422.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $6,421.83 / $8,632.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.10 / $263.27 / $355.57