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Washington rates for HCPCS 58541

Laparoscopy Supracervical Hysterectomy 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.50 / $7,920.26 / $23,177.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,886.41 / $27,343.05 / $55,801.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,960.89 / $6,960.89 / $11,596.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.50 / $1,754.10 / $15,969.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.38 / $1,422.52 / $1,678.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.92 / $1,007.23 / $2,429.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,785.40 / $27,419.55 / $55,801.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $4,686.00 / $20,708.00