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Ohio rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $8,912.51 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $10,232.93 / $21,877.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $977.24 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,754.40 / $8,511.38