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Arizona rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.13 / $1,151.19 / $5,258.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.65 / $1,310.20 / $1,637.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.99 / $1,383.73 / $2,470.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.61 / $1,470.96 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.26 / $1,300.55 / $8,525.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.80 / $1,238.03 / $2,251.46