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Oklahoma rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $3,302.14 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.40 / $111.91 / $157.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,937.22 / $6,114.03 / $9,607.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.86 / $133.30 / $182.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.17 / $114.10 / $168.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.31 / $155.54 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.93 / $179.89 / $1,142.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,612.45 / $8,784.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.56 / $130.63 / $218.01