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Idaho rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,347.19 / $2,007.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.84 / $1,976.78 / $2,206.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.16 / $2,007.82 / $2,344.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.59 / $1,957.45 / $2,237.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,796.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,306.08 / $18,816.75 / $23,096.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.84 / $1,771.84 / $2,162.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.56 / $1,628.99 / $2,375.67