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Maryland rates for HCPCS 58290

Vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,570.88 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $3,630.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,951.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $2,344.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,584.89