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Wisconsin 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
$1,071.52 / $8,912.51 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $4,786.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,918.31 / $12,589.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,238.72 / $3,090.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $13,182.57