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Nebraska 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
$6,025.60 / $7,943.28 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,471.29 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,089.30 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,606.93 / $8,912.51