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California rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $9,008.00 / $19,860.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,770.00 / $22,895.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,769.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.40 / $1,099.80 / $1,319.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.82 / $1,266.49 / $2,257.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,446.44 / $10,899.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.50 / $1,305.80 / $1,942.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,116.00 / $9,810.00 / $22,073.00