go back

Wisconsin 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
$1,479.11 / $13,489.63 / $28,183.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $4,677.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $7,079.46 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $9,772.37 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,238.72 / $3,388.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $27,542.29 / $27,542.29
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79