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Texas 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
$1,198.00 / $3,925.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.25 / $3,174.90 / $10,822.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,690.72 / $1,690.72 / $1,690.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $12,650.00 / $19,265.66
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,397.26 / $6,866.68 / $7,402.14
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$424.66 / $858.34 / $925.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.56 / $2,323.83 / $4,206.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.56 / $2,375.39 / $4,824.24
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$609.27 / $609.27 / $609.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00