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Alaska rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,713.78 / $13,413.92 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.37 / $4,375.52 / $4,797.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,118.73 / $3,118.73 / $3,118.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.89 / $4,375.52 / $6,256.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.10 / $5,793.90 / $7,485.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,448.75 / $4,000.55 / $5,616.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.89 / $4,375.52 / $6,256.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.23 / $3,984.00 / $5,733.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.51 / $3,742.47 / $5,596.18