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New York rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.76 / $4,910.00 / $11,581.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $7,631.00 / $14,193.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.94 / $1,406.94 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.74 / $1,133.74 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,692.33 / $2,920.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,133.74 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.80 / $1,135.80 / $3,262.94