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Arizona rates for HCPCS 58554

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $5,488.05 / $11,109.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.99 / $1,673.87 / $9,251.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00