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Idaho rates for HCPCS 58291

Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $8,167.20 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.02 / $1,455.59 / $2,170.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.51 / $2,137.96 / $2,386.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.91 / $2,170.06 / $2,544.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.90 / $2,113.69 / $2,415.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,718.93 / $2,162.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,966.37 / $12,222.47 / $15,458.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.52 / $1,913.52 / $2,336.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.50 / $1,675.35 / $2,531.64