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Ohio 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
$1,377.10 / $6,582.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,173.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.94 / $943.13 / $1,167.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.58 / $1,232.58 / $9,240.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.00 / $9,348.00 / $15,000.00