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Indiana rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.50 / $1,854.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.66 / $1,131.50 / $1,347.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.29 / $1,488.54 / $2,054.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.92 / $1,344.51 / $1,551.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.24 / $1,225.42 / $1,551.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.20 / $1,445.34 / $2,363.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.90 / $1,305.83 / $2,089.34