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Georgia 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
$872.38 / $5,045.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.38 / $1,173.03 / $2,691.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $14,965.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.32 / $1,563.23 / $2,804.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.49 / $1,818.73 / $2,842.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.98 / $1,367.57 / $2,526.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.36 / $1,704.20 / $1,946.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.76 / $1,454.93 / $2,506.03