go back

Kentucky 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
$794.33 / $2,818.38 / $10,471.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,079.46 / $14,125.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.25 / $141.25 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $5,011.87 / $12,302.69