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Virginia rates for HCPCS 58291

Vag Hyst > 250 Gm Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.87 / $6,146.00 / $15,769.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.79 / $1,394.87 / $2,030.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.70 / $1,470.21 / $2,016.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.81 / $2,011.41 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.34 / $1,648.48 / $3,115.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.00 / $1,408.80 / $1,737.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.00 / $1,647.07 / $2,278.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,534.00 / $1,739.00 / $2,904.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.88 / $1,658.63 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.88 / $1,658.63 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.30 / $1,705.13 / $2,727.96