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Texas rates for HCPCS 58152

Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.27 / $3,766.00 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.30 / $1,244.77 / $1,868.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.05 / $2,077.86 / $5,480.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.07 / $1,353.41 / $2,013.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.86 / $1,069.86 / $1,069.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.75 / $1,692.35 / $2,603.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,822.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,900.40 / $9,166.95 / $10,419.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.39 / $1,611.80 / $2,719.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.27 / $1,840.54 / $2,165.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.19 / $1,369.31 / $1,491.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.83 / $1,641.15 / $2,783.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.79 / $1,730.68 / $2,787.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.20 / $1,393.94 / $2,200.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.70 / $1,174.39 / $1,618.42