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Hawaii 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
$2,528.00 / $6,084.00 / $7,424.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.34 / $1,217.34 / $1,220.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.83 / $1,482.38 / $1,482.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.52 / $1,828.88 / $11,782.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.49 / $1,423.08 / $1,660.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.61 / $1,482.38 / $1,942.04
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.46 / $1,456.81 / $2,059.50