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Rhode Island rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.15 / $3,955.04 / $4,600.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $101.44 / $136.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.83 / $156.47 / $187.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $170.15 / $280.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,146.00 / $4,086.00 / $10,355.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.17 / $130.63 / $306.81