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New York 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
$1,318.26 / $5,370.32 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,698.24 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,949.84 / $3,388.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $12,302.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $3,311.31