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Texas rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.97 / $2,317.00 / $7,094.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$27.67 / $47.60 / $87.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.36 / $278.16 / $501.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.63 / $387.63 / $387.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.38 / $3,947.00 / $7,993.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.87 / $288.50 / $493.42
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.78 / $1,464.98 / $2,566.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.10 / $2,063.56 / $2,063.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $4,558.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.00 / $336.69 / $541.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.10 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$138.36 / $148.02 / $148.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.00 / $2,426.80 / $2,867.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.81 / $318.42 / $581.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.17 / $361.86 / $592.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $332.40 / $332.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.47 / $322.04 / $611.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $352.00 / $598.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.31 / $333.00 / $528.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.76 / $315.42 / $445.00