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Pennsylvania 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
$1,163.32 / $6,193.00 / $17,489.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,524.95 / $25,489.63 / $35,111.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $6,432.00 / $14,195.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.70 / $1,282.70 / $1,421.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00