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Louisiana 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
$941.00 / $3,101.00 / $6,460.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.39 / $1,412.29 / $1,715.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,193.21 / $12,329.65 / $19,838.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.07 / $1,513.16 / $2,008.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.44 / $164.44 / $164.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.97 / $1,360.32 / $2,166.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.46 / $1,433.61 / $2,401.42