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Idaho rates for HCPCS 58558

Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $6,606.93 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $457.09 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$77.62 / $77.62 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,715.35 / $8,128.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $1,995.26 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $478.63 / $2,454.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $2,398.83 / $8,912.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$77.62 / $77.62 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $9,772.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $2,238.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,174.90 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $478.63 / $2,089.30