go back

Ohio rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.88 / $2,764.50 / $9,863.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.67 / $144.88 / $259.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,847.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $103.27 / $192.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.71 / $105.25 / $164.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.00 / $267.00 / $267.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.86 / $140.47 / $255.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.36 / $5,890.41 / $10,874.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.58 / $147.69 / $269.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.90 / $152.87 / $209.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,874.00 / $6,111.00 / $7,853.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $144.96 / $254.18