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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.47 / $3,266.40 / $8,632.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$6,866.68 / $6,866.68 / $6,866.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$858.34 / $858.34 / $858.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $4,126.60 / $5,817.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00