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New York 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
$1,722.06 / $5,922.00 / $12,075.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $7,631.00 / $14,193.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.81 / $1,911.81 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.38 / $1,541.38 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $2,020.00 / $3,529.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,541.38 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.37 / $1,543.37 / $4,381.96