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Kentucky 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
$860.00 / $1,087.84 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.46 / $1,028.93 / $1,252.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,062.90 / $9,565.00 / $21,322.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.44 / $1,052.34 / $1,468.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.69 / $1,384.53 / $1,597.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.70 / $1,384.53 / $1,977.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.80 / $1,223.75 / $1,223.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.04 / $1,428.38 / $2,276.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.07 / $1,466.83 / $2,117.98