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New York 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
$1,153.28 / $6,393.00 / $13,548.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $23,873.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.76 / $2,644.00 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.39 / $12,209.00 / $34,562.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.28 / $93.28 / $93.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,326.00 / $2,359.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,517.62 / $8,450.92 / $13,362.71
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $8,147.00 / $34,562.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$93.28 / $93.28 / $93.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,736.00 / $6,762.00 / $15,032.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.71 / $951.71 / $2,816.60