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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,351.66 / $1,351.66 / $5,584.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.61 / $1,765.83 / $3,814.59
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.95 / $1,765.83 / $3,814.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.85 / $1,505.25 / $4,681.97