go back

New Jersey rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.66 / $6,986.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.94 / $1,134.01 / $1,954.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.77 / $1,752.79 / $3,258.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.16 / $1,775.79 / $2,127.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,268.34 / $17,978.28 / $20,440.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.60 / $1,207.47 / $2,193.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.90 / $1,459.95 / $2,617.46