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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.77 / $981.77 / $5,584.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,093.16 / $10,968.31 / $20,590.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.26 / $1,609.55 / $2,146.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.77 / $2,445.39 / $3,157.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.16 / $1,865.36 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.99 / $2,413.75 / $7,932.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.00 / $2,388.91 / $3,325.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.71 / $2,340.59 / $3,157.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,469.90 / $2,706.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.26 / $2,270.42 / $2,535.91