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Rhode Island rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.25 / $1,153.57 / $1,610.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.78 / $1,415.04 / $2,300.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $1,722.07 / $2,388.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.56 / $1,655.95 / $2,364.34