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Louisiana rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.63 / $1,443.39 / $1,944.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.86 / $7,017.33 / $15,887.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.48 / $1,553.58 / $2,056.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.17 / $1,376.75 / $2,225.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.58 / $1,462.67 / $2,454.30