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Pennsylvania rates for HCPCS 58260

Vaginal Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $6,160.71 / $17,278.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,396.53 / $13,518.53 / $33,145.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,470.00 / $13,971.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.75 / $826.75 / $965.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00