go back

South Carolina 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
$2,630.27 / $9,549.93 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,585.78 / $14,125.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,988.33