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Alaska rates for HCPCS 58263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,413.10 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,786.30 / $6,760.83