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Washington rates for HCPCS 58555

Hysteroscopy, diagnostic (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $1,513.56 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $338.84 / $1,023.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $416.87 / $1,023.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $478.63 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $67.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $724.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $501.19 / $501.19
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $457.09 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $8,912.51 / $16,982.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $436.52 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $257.04 / $478.63