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Texas 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
$1,096.48 / $3,890.45 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,760.83 / $13,182.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $2,041.74 / $7,079.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $10,964.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $6,309.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $10,964.78