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Wisconsin 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
$1,862.09 / $10,964.78 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $4,466.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $7,244.36 / $12,589.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $12,589.25 / $12,589.25
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$851.14 / $851.14 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57