go back

Indiana 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
$978.06 / $1,514.44 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.04 / $1,164.96 / $1,344.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00