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Indiana 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
$1,174.90 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $18,620.87 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,089.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,905.46