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Idaho 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
$2,029.54 / $13,608.23 / $22,047.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.33 / $1,705.50 / $1,988.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,710.47 / $24,687.79 / $31,188.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00