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Wisconsin 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
$894.03 / $2,993.02 / $18,730.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,878.00 / $15,141.00 / $22,609.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.54 / $2,486.19 / $4,010.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.03 / $895.67 / $1,604.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.03 / $8,791.00 / $17,200.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.03 / $895.67 / $1,604.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.70 / $2,498.00 / $2,953.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,770.10 / $27,770.10 / $27,770.10
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,632.21 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $13,752.00 / $17,450.00