go back

Nebraska 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
$5,463.36 / $11,611.47 / $24,068.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.22 / $1,025.22 / $5,893.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.41 / $1,681.40 / $2,241.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.59 / $2,554.52 / $3,364.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.39 / $1,947.92 / $15,412.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.74 / $2,572.73 / $9,000.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.59 / $2,753.08 / $8,854.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.71 / $2,449.04 / $3,364.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,705.90 / $2,813.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.12 / $2,487.07 / $3,099.79