go back

Indiana rates for HCPCS 58200

Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.75 / $2,059.15 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,085.00 / $16,165.29 / $28,794.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.80 / $1,583.96 / $1,827.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00