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Indiana rates for HCPCS 58550

Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.72 / $1,494.00 / $10,985.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,044.00 / $11,021.00 / $30,091.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$811.98 / $1,034.88 / $1,194.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,833.32 / $3,833.32 / $3,833.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,889.57 / $10,855.00 / $17,380.00