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New York rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.19 / $5,228.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.22 / $1,416.64 / $2,503.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $16,411.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.64 / $1,179.93 / $2,864.77
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.69 / $1,637.69 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.69 / $1,637.69 / $1,637.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.04 / $1,318.04 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.93 / $1,964.04 / $4,163.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,945.80 / $3,193.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.16 / $1,552.95 / $3,290.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.26 / $1,316.90 / $2,108.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,318.04 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.09 / $1,964.04 / $4,163.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.08 / $1,592.41 / $3,058.77
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.90 / $1,316.90 / $3,901.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.66 / $1,392.30 / $2,433.98