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Idaho rates for HCPCS 58290

Vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $8,912.51 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $2,187.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,089.30 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $16,982.44 / $23,988.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $2,238.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,995.26 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $2,344.23