go back

Wisconsin rates for HCPCS 58275

Vaginal hysterectomy, with total or partial vaginectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.58 / $2,003.65 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,084.00 / $11,523.00 / $18,601.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.55 / $2,965.33 / $4,782.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.56 / $1,200.97 / $1,955.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.58 / $3,360.50 / $11,598.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.72 / $1,200.97 / $1,955.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.90 / $2,986.00 / $3,530.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,122.80 / $8,122.80 / $8,122.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00