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Maryland 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
$0.98 / $5,187.93 / $16,852.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.66 / $1,111.54 / $1,853.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,822.43 / $20,822.43 / $20,822.43