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Texas rates for HCPCS 58400

Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,682.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.84 / $718.59 / $3,510.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.77 / $406.77 / $406.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,060.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.57 / $583.83 / $1,135.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.57 / $587.50 / $1,195.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00