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Massachusetts rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.44 / $1,372.83 / $2,000.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,381.63 / $4,621.47 / $10,174.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.56 / $2,458.06 / $8,936.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.94 / $2,336.39 / $3,811.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.69 / $2,545.05 / $4,612.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,925.18 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.94 / $1,398.19 / $2,254.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.45 / $3,050.34 / $4,468.70
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.31 / $5,301.97 / $21,582.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,097.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.19 / $2,597.98 / $8,936.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.80 / $1,841.98 / $4,251.82