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Washington rates for HCPCS 38572

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $13,182.57 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $11,481.54
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $26,302.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,737.80 / $1,819.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,230.27 / $1,230.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $28,840.32 / $56,234.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $36,307.81 / $63,095.73