go back

West Virginia rates for HCPCS 58350

Chromotubation of oviduct, including materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $1,122.02 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $104.71 / $181.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,570.40 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $102.33 / $165.96