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New York 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
$1,705.07 / $6,442.20 / $15,563.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,720.00 / $23,873.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.32 / $1,855.32 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.48 / $7,289.38 / $34,562.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,222.33 / $4,036.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,452.82 / $17,452.82 / $19,803.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,494.48 / $34,562.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,762.00 / $16,243.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.89 / $1,492.89 / $4,462.13