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California rates for HCPCS 38573

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,530.35 / $10,077.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,816.00 / $20,369.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $1,183.52 / $20,887.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.60 / $6,185.09 / $14,932.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.04 / $1,306.78 / $1,764.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.79 / $1,431.73 / $2,634.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $24,238.68 / $27,770.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,459.72 / $2,151.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,341.00 / $13,002.00 / $30,330.00