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Virginia 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
$2,149.52 / $6,827.70 / $18,422.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.86 / $2,140.63 / $2,640.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.01 / $2,401.48 / $3,511.54
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$317.41 / $376.82 / $531.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.32 / $2,424.39 / $8,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00