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Tennessee rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.20 / $1,975.54 / $6,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $108.42 / $188.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.00 / $4,657.00 / $8,456.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.75 / $123.85 / $220.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $143.97 / $246.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.40 / $561.60 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.16 / $1,080.56 / $1,272.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.81 / $146.41 / $262.27