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Idaho 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
$1,725.78 / $1,725.78 / $7,643.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.68 / $1,450.24 / $1,861.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,190.95 / $24,687.79 / $31,188.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $20,822.43 / $29,092.00