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Hawaii rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $6,084.00 / $7,424.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,151.19 / $1,737.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.09 / $1,403.31 / $1,403.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.35 / $1,740.09 / $11,782.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.92 / $1,347.18 / $1,571.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.09 / $1,403.31 / $1,834.67
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.55 / $7,934.00 / $11,700.00