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Kentucky 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
$870.27 / $1,132.05 / $10,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.48 / $1,290.10 / $1,488.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.45 / $1,138.32 / $1,138.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00