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Ohio 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
$1,414.87 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.82 / $1,196.65 / $2,421.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.00 / $4,918.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.03 / $1,272.46 / $2,372.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.33 / $1,384.00 / $1,712.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.42 / $1,268.66 / $1,268.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.62 / $1,614.66 / $2,432.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.33 / $1,707.33 / $2,432.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.13 / $993.95 / $1,614.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,578.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.96 / $1,598.78 / $2,607.08