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Maryland rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $4,025.98 / $7,582.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.17 / $1,138.86 / $3,200.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.43 / $1,290.30 / $1,561.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.82 / $1,554.13 / $2,963.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.24 / $1,539.28 / $2,567.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.88 / $1,299.05 / $2,342.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.51 / $1,372.23 / $1,693.61