go back

Massachusetts rates for HCPCS 58540

Hysteroplasty Rpr Uterine Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,107.00 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.83 / $980.31 / $1,713.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,264.50 / $5,938.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.25 / $1,802.33 / $6,601.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.11 / $1,853.09 / $3,416.97
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.89 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.83 / $1,034.92 / $1,668.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.08 / $2,240.29 / $3,003.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $7,231.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.38 / $1,927.22 / $6,601.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.27 / $1,396.71 / $2,633.65