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Louisiana 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
$900.00 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.78 / $1,330.19 / $1,616.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,471.45 / $7,638.79 / $10,737.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.13 / $1,654.66 / $1,965.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.63 / $1,278.86 / $2,063.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.02 / $1,329.20 / $2,261.83