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Indiana rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.02 / $2,318.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.72 / $1,100.02 / $1,309.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.58 / $1,478.75 / $2,040.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.81 / $1,308.68 / $1,510.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.68 / $1,208.02 / $1,510.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.40 / $1,451.25 / $2,311.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.49 / $1,268.44 / $2,058.08