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Nebraska rates for HCPCS 58294

Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.52 / $1,115.52 / $6,388.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.32 / $1,827.83 / $2,437.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.63 / $2,777.01 / $3,635.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.17 / $2,119.48 / $8,632.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.03 / $2,779.78 / $9,012.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.00 / $2,777.01 / $3,781.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.75 / $2,660.09 / $3,635.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,816.20 / $3,067.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.51 / $2,694.13 / $3,327.60