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Idaho 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
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.90 / $1,308.48 / $1,951.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.68 / $1,925.17 / $2,149.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.83 / $1,951.42 / $2,308.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.96 / $1,904.81 / $2,176.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,549.13 / $1,948.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,710.47 / $24,687.79 / $31,188.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,723.24 / $1,723.24 / $2,102.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.13 / $1,610.99 / $2,321.71