go back

Delaware rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.95 / $1,130.95 / $1,214.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.63 / $1,583.94 / $1,857.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,207.18 / $10,207.18 / $10,207.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.64 / $1,520.12 / $2,863.86