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Texas rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.61 / $2,757.00 / $7,935.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $112.28 / $191.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $54.67 / $54.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.81 / $6,661.56 / $12,900.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $123.49 / $184.42
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $3,961.53 / $13,481.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.44 / $3,919.46 / $3,919.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.69 / $3,194.69 / $3,194.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $138.88 / $227.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.40 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.16 / $1,080.56 / $1,272.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.63 / $133.56 / $234.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.85 / $171.47 / $263.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.50 / $150.50 / $150.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.87 / $134.72 / $254.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $143.24 / $256.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,425.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.84 / $122.96 / $205.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.79 / $139.99 / $197.98