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Louisiana 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
$960.00 / $3,101.00 / $6,460.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,193.21 / $12,270.10 / $19,749.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,784.48 / $12,784.48 / $12,784.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00