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Massachusetts rates for HCPCS 58290

Vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $3,235.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,265.80 / $16,218.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,041.74 / $3,801.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,659.59 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,148.15 / $1,737.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $3,162.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,265.80 / $16,218.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $4,265.80