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Ohio 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
$1,737.80 / $9,332.54 / $32,359.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,888.44 / $30,199.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $977.24 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $9,120.11 / $29,512.09
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,332.54 / $14,125.38