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Wisconsin 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
$2,630.27 / $26,302.68 / $43,651.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,982.44 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $6,165.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $7,079.46 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $9,772.37 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,951.21 / $4,466.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $27,542.29 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79