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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.69 / $1,043.65 / $5,584.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.12 / $1,218.82 / $1,523.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.10 / $1,260.89 / $2,264.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.05 / $1,394.18 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.23 / $1,205.49 / $7,932.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.26 / $1,140.38 / $2,053.90