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Idaho rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,495.41 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,235.94 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,737.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,412.54 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,778.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,819.70