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Oregon rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.84 / $12,274.80 / $21,735.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.75 / $3,076.38 / $3,463.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.99 / $2,608.06 / $3,666.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.23 / $2,527.19 / $2,720.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.99 / $2,894.20 / $3,450.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,957.96 / $6,957.96 / $6,957.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00