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New York rates for HCPCS 58262

Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.43 / $5,824.00 / $12,266.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,565.00 / $21,263.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.04 / $1,316.04 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.61 / $1,061.61 / $13,296.25
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.24 / $104.24 / $104.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,582.88 / $2,841.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,836.13 / $7,965.02 / $12,983.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $8,147.00 / $13,296.25
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.24 / $104.24 / $104.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.19 / $1,063.19 / $3,070.09