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Georgia 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
$4,570.88 / $9,772.37 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,495.41 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $16,218.10 / $24,547.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$77.62 / $77.62 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $7,762.47 / $17,378.01