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Georgia 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
$2,500.00 / $6,915.00 / $12,464.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.00 / $4,789.00 / $13,137.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.82 / $1,307.82 / $1,307.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.00 / $5,008.00 / $9,829.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.01 / $1,509.31 / $6,682.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.00 / $7,145.00 / $16,000.00