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Arizona rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.52 / $1,187.64 / $6,388.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.63 / $1,384.84 / $1,731.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.15 / $1,458.32 / $2,608.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.01 / $1,556.69 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.64 / $1,371.71 / $9,012.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.17 / $1,312.90 / $2,383.94