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Texas 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
$1,096.48 / $4,365.16 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $13,489.63 / $25,703.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $14,791.08 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $10,000.00 / $10,000.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $12,589.25 / $27,542.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,995.26 / $8,709.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,709.64 / $17,782.79