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Georgia 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
$1,905.46 / $6,760.83 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $16,218.10 / $24,547.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$66.07 / $66.07 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01