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Texas rates for HCPCS 58554

Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.00 / $4,633.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,076.34 / $12,619.67 / $25,071.07
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,782.32 / $8,715.36 / $17,596.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.14 / $12,784.48 / $12,784.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,027.91 / $7,027.91 / $7,027.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $12,650.00 / $27,770.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.01 / $1,666.22 / $2,873.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.01 / $1,690.99 / $3,348.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.00 / $7,350.00 / $16,000.00