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West Virginia 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
$1,023.29 / $11,481.54 / $15,848.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,698.24 / $1,698.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $14,125.38