go back

Virginia rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.19 / $5,412.00 / $12,483.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.17 / $1,277.19 / $1,591.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.57 / $1,361.35 / $1,867.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.43 / $1,858.03 / $11,515.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.36 / $1,514.17 / $2,875.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.19 / $1,304.63 / $1,609.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.60 / $1,524.41 / $2,086.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.00 / $1,608.00 / $2,689.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.68 / $1,518.71 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.68 / $1,518.71 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.54 / $1,558.28 / $2,542.19