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Virginia rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.59 / $6,689.83 / $10,637.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.38 / $741.06 / $3,206.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.55 / $1,083.51 / $2,850.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.27 / $449.63 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.16 / $771.86 / $3,682.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.98 / $2,255.92 / $2,819.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.44 / $1,739.86 / $3,320.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,956.00 / $2,305.00 / $3,894.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $424.93 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.19 / $2,713.20 / $6,112.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $2,695.32 / $4,263.04