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Connecticut rates for HCPCS 58552

Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,722.42 / $10,651.00 / $21,500.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $16,131.00 / $26,433.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,611.41 / $2,611.41 / $2,611.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $11,293.00 / $20,738.00