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Utah rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.54 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $111.91 / $182.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.78 / $137.94 / $240.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $113.46 / $147.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,294.75 / $9,430.81 / $13,743.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.33 / $163.69 / $224.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.58 / $130.32 / $261.11