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California rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,456.54 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $338.84 / $1,096.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $74.13 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,466.84 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $870.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $2,754.23 / $6,606.93
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,511.89 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $660.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $323.59 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,884.03 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $501.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $316.23 / $562.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $707.95
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,071.52
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $630.96