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New York 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
$1,252.17 / $6,962.00 / $16,995.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $23,873.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.31 / $2,644.00 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.99 / $17,446.00 / $21,019.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.13 / $110.13 / $110.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,837.00 / $8,640.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,860.84 / $12,453.62 / $20,355.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.99 / $12,209.00 / $21,019.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.13 / $110.13 / $110.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $8,935.00 / $20,070.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.15 / $1,123.15 / $3,307.68