go back

Texas 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
$1,513.56 / $5,128.61 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $13,182.57 / $25,703.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $8,511.38 / $14,125.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $12,589.25 / $27,542.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $8,709.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,709.64 / $17,782.79