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Maryland 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
$1,572.50 / $7,849.76 / $14,301.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.65 / $1,743.63 / $2,906.36