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North Dakota 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
$1,062.36 / $1,062.36 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.59 / $1,062.36 / $1,062.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.06 / $2,270.91 / $2,722.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.54 / $2,472.67 / $3,193.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.36 / $1,488.21 / $3,187.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.30 / $1,948.92 / $2,745.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.30 / $2,069.64 / $2,745.79