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Massachusetts 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
$1,071.52 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,090.30 / $8,511.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $3,467.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,548.82 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,071.52 / $1,584.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $2,511.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,235.94 / $8,511.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $7,762.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,570.88 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,951.21