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North Dakota 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
$891.25 / $1,000.00 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,621.81 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,888.44 / $5,888.44