go back

Massachusetts 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
$1,548.82 / $3,630.78 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $8,317.64 / $25,703.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $26,915.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $8,709.64 / $25,703.96
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $19,054.61