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Arkansas rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.73 / $2,006.75 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.22 / $1,300.73 / $1,590.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,242.09 / $9,242.09 / $11,090.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.30 / $1,488.04 / $1,488.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.62 / $4,726.62 / $4,726.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.60 / $1,888.83 / $2,025.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,555.00 / $8,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.75 / $1,293.16 / $2,158.21