go back

California 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
$3,546.09 / $10,070.00 / $22,210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.19 / $1,133.21 / $5,893.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $12,360.00 / $24,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.07 / $1,916.49 / $3,485.71
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $21,563.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.69 / $1,304.15 / $3,177.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.09 / $12,122.00 / $14,932.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.47 / $1,418.70 / $4,105.35
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.39 / $1,223.89 / $1,652.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.50 / $1,411.93 / $2,530.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $12,650.00 / $27,770.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,000.00 / $9,000.00 / $9,426.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.22 / $1,445.11 / $2,037.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.47 / $1,446.48 / $3,184.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,656.54 / $3,656.54 / $3,656.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.39 / $1,110.83 / $1,357.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,722.00 / $29,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.60 / $1,290.19 / $3,764.57