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Arizona rates for HCPCS 58542

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,632.00 / $9,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.26 / $1,160.50 / $9,437.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$210.48 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,458.00 / $7,702.00 / $11,396.00