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Virginia rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.94 / $1,719.00 / $8,900.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$25.05 / $63.85 / $99.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.81 / $280.14 / $542.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.49 / $303.44 / $493.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $251.97 / $3,774.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $298.69 / $594.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.76 / $386.11 / $476.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.48 / $319.27 / $537.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.00 / $372.87 / $671.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.97 / $235.94 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.61 / $411.01 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.22 / $351.51 / $659.55