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Kentucky rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.00 / $1,320.97 / $10,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.86 / $1,108.41 / $1,320.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,755.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.20 / $955.11 / $1,576.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.80 / $1,491.81 / $1,720.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.42 / $1,491.81 / $2,131.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.92 / $1,318.04 / $1,318.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.83 / $1,486.55 / $2,482.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.17 / $1,602.41 / $2,296.02