go back

Maine 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
$9,904.66 / $10,624.49 / $10,624.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.02 / $1,267.55 / $1,910.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.35 / $1,648.46 / $2,378.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.88 / $1,775.63 / $2,690.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.70 / $1,780.80 / $2,731.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,904.66 / $10,624.49 / $32,866.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.54 / $1,267.55 / $2,283.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.27 / $1,970.70 / $2,462.73