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Nebraska rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,093.16 / $10,968.31 / $20,590.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.51 / $1,727.39 / $8,122.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $2,209.65 / $3,072.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00