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Idaho 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
$4,365.16 / $4,466.84 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $12,882.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,819.70 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01