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California 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
$4,677.35 / $10,232.93 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,803.84 / $26,302.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $5,623.41 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $12,022.64 / $14,791.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $12,589.25 / $27,542.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $28,840.32