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Indiana rates for HCPCS 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,841.85 / $3,500.00 / $17,756.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$5,653.10 / $5,653.10 / $5,653.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,727.00 / $25,437.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.80 / $2,204.64 / $2,543.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00