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Nebraska rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.98 / $1,054.98 / $6,034.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.39 / $1,729.06 / $2,305.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.89 / $2,626.97 / $3,440.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.39 / $2,004.46 / $10,946.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.06 / $2,630.34 / $8,525.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.00 / $2,626.97 / $3,574.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.97 / $2,516.71 / $3,440.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,693.40 / $2,901.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.06 / $2,536.17 / $2,725.01