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New York 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
$1,548.00 / $5,324.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.15 / $1,525.80 / $2,580.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.58 / $1,280.50 / $3,093.16
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.03 / $1,771.03 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.03 / $1,771.03 / $1,771.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.29 / $1,424.29 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.93 / $2,112.21 / $4,502.39
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,116.78 / $3,516.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.91 / $1,677.23 / $2,510.06
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.44 / $1,422.42 / $2,277.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,041.72 / $12,554.83 / $13,507.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,424.29 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.27 / $2,112.21 / $4,502.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.83 / $1,730.57 / $3,307.58
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.42 / $1,422.42 / $4,257.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.10 / $1,503.73 / $2,629.02