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Indiana rates for HCPCS 58294

Vaginal Hysterectomy >250 Gm Rpr Enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.65 / $1,847.83 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.22 / $1,196.65 / $1,424.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.13 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.44 / $1,577.13 / $2,176.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.26 / $1,421.41 / $1,640.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.39 / $1,312.07 / $1,640.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.63 / $1,553.55 / $2,500.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.13 / $1,388.55 / $2,207.86