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Massachusetts rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.00 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.01 / $1,243.73 / $1,737.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.72 / $4,282.55 / $13,773.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.93 / $2,268.76 / $8,273.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.41 / $2,348.19 / $4,272.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,805.78 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.61 / $1,295.17 / $2,088.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.40 / $2,824.87 / $4,137.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $13,773.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.26 / $2,407.69 / $8,273.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.98 / $1,806.24 / $3,890.83