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Washington, DC 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
$1,698.24 / $3,981.07 / $7,079.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $13,489.63 / $52,480.75