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Virginia 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
$1,550.78 / $5,980.00 / $14,867.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,076.18 / $14,552.64 / $20,189.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.25 / $1,537.50 / $1,896.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.32 / $1,775.48 / $2,533.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.47 / $1,734.52 / $3,259.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00