go back

Pennsylvania 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
$1,412.54 / $6,918.31 / $11,481.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $12,022.64 / $20,417.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,754.40 / $11,220.18
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,778.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $954.99 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $18,620.87