go back

Virginia rates for HCPCS 58542

Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.30 / $6,827.70 / $16,589.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.29 / $943.55 / $1,163.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.57 / $1,101.15 / $1,491.46
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$244.35 / $289.74 / $327.97
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$171.05 / $202.82 / $229.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.63 / $1,191.59 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $12,407.00 / $26,537.00