go back

Texas rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.09 / $1,640.98 / $7,346.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.16 / $859.16 / $859.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $7,890.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.28 / $1,287.43 / $2,133.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.28 / $1,295.28 / $2,342.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00