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Alaska rates for HCPCS 58267

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,166.97 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,106.21 / $5,106.21 / $6,644.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,632.77 / $3,632.77 / $3,632.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.64 / $5,106.21 / $7,301.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.65 / $6,753.60 / $8,729.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.00 / $4,663.20 / $6,520.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.64 / $5,106.21 / $7,301.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.88 / $4,636.50 / $6,656.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,759.74 / $4,359.33 / $6,502.79