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New Jersey rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $4,294.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.08 / $97.85 / $166.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.82 / $155.29 / $377.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $229.11 / $280.95
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,685.21 / $10,004.95 / $24,374.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $126.25 / $215.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $8,475.00 / $14,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $176.26 / $282.06