go back

Hawaii 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
$2,747.00 / $8,431.00 / $10,303.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,399.96 / $1,527.23 / $1,781.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00