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Texas 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
$969.00 / $3,570.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.69 / $1,075.33 / $1,623.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.47 / $1,758.01 / $7,820.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.65 / $1,256.21 / $1,743.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.23 / $922.23 / $922.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.34 / $1,459.86 / $2,247.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $8,496.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,695.28 / $7,932.80 / $9,013.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,391.38 / $2,280.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.34 / $1,591.60 / $1,872.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.18 / $1,217.54 / $1,300.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,400.36 / $2,481.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.34 / $1,491.00 / $2,402.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.11 / $1,183.34 / $1,896.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.83 / $1,014.62 / $1,399.91