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Virginia rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.22 / $3,226.00 / $7,597.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $120.22 / $200.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.84 / $147.47 / $215.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.10 / $146.02 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $137.27 / $256.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $171.86 / $211.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.68 / $132.24 / $201.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $136.00 / $231.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.36 / $111.43 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $156.04 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,632.74 / $17,321.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.05 / $141.58 / $247.08