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Nebraska 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
$1,905.46 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $5,754.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,471.29 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,398.83 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,187.76 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,187.76 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $1,621.81 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,995.26 / $2,630.27