go back

Alaska rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,417.42 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.30 / $5,510.04 / $6,034.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,942.62 / $3,942.62 / $3,942.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.93 / $5,510.04 / $7,879.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.35 / $7,261.80 / $9,419.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,322.50 / $5,014.10 / $7,123.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.93 / $5,510.04 / $7,879.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.55 / $5,019.00 / $7,265.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,966.81 / $4,731.14 / $7,116.57