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New York 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
$1,528.44 / $5,228.00 / $11,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.26 / $1,500.47 / $2,378.91
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
$954.74 / $1,246.98 / $3,026.92
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.60 / $1,732.60 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.60 / $1,732.60 / $1,732.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.63 / $1,393.63 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.83 / $2,067.21 / $4,403.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,071.89 / $3,430.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.64 / $1,641.66 / $2,456.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.78 / $1,392.02 / $2,228.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,393.63 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.09 / $2,067.21 / $4,403.81
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
$1,215.07 / $1,682.64 / $3,240.73
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.02 / $1,392.02 / $4,137.01
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.42 / $1,471.84 / $2,572.82