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Oklahoma 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
$1,288.25 / $3,981.07 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $10,964.78 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,511.38