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Massachusetts rates for HCPCS 58553

Laps W/Vaginal Hysterectomy > 250 Grams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.00 / $3,111.85 / $8,271.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.64 / $1,224.76 / $1,684.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $16,183.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.49 / $2,216.37 / $9,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.64 / $2,286.55 / $4,144.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,754.07 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.39 / $1,259.38 / $2,030.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.30 / $2,748.88 / $4,024.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.19 / $353.19 / $353.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $7,247.10 / $15,421.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.15 / $2,338.76 / $9,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.94 / $1,675.34 / $3,808.04