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New York rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.36 / $3,030.17 / $8,010.66
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$36.67 / $53.92 / $100.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.91 / $295.80 / $668.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,679.00 / $21,263.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.79 / $323.60 / $773.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.54 / $1,254.00 / $4,050.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.54 / $214.54 / $510.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.94 / $258.94 / $3,479.91
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.79 / $51.79 / $51.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.40 / $387.50 / $976.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.63 / $250.00 / $397.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.59 / $472.79 / $884.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.40 / $348.59 / $656.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,441.46 / $4,446.53 / $7,756.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.94 / $597.00 / $8,498.00
MVP Health Care
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.79 / $51.79 / $51.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.10 / $443.93 / $1,026.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,840.00 / $12,328.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $439.05 / $910.91
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.30 / $172.30 / $677.85
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.40 / $383.79 / $721.15