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Nebraska rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.46 / $2,151.54 / $7,856.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.00 / $2,965.28 / $4,162.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00