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Pennsylvania rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.33 / $4,993.00 / $14,381.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.17 / $1,134.01 / $1,737.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.03 / $1,598.77 / $2,127.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.57 / $1,480.23 / $2,317.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.65 / $1,803.74 / $1,803.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,335.81 / $6,335.81 / $23,462.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.33 / $5,342.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.67 / $1,186.30 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,308.50 / $2,901.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.65 / $1,489.89 / $2,506.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.49 / $1,134.68 / $1,246.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.49 / $1,144.74 / $1,246.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.47 / $1,394.34 / $2,330.16