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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
$1,819.70 / $5,888.44 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,238.72 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $4,466.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $17,378.01 / $19,952.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $18,620.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,479.11 / $4,466.84