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Arizona rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $9,112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.70 / $908.51 / $1,740.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.22 / $1,045.63 / $1,307.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.53 / $1,079.96 / $1,950.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.50 / $1,180.70 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.81 / $1,035.83 / $6,805.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.76 / $976.98 / $1,759.76