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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
$1,052.30 / $1,183.15 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.33 / $1,052.30 / $1,252.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.70 / $1,344.14 / $1,854.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.15 / $1,250.48 / $1,442.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.91 / $1,154.29 / $1,442.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.44 / $1,365.67 / $2,284.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.19 / $1,193.61 / $2,051.87