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Illinois 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
$1,148.15 / $4,168.69 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $7,413.10 / $19,498.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $4,365.16
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,365.16 / $9,772.37