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Nebraska 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
$3,933.00 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.42 / $1,719.24 / $15,412.10
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,632.21 / $2,632.21 / $2,632.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.36 / $2,047.59 / $8,854.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,939.00 / $8,158.00 / $9,496.00