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Idaho 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
$4,500.00 / $4,657.00 / $20,865.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.82 / $1,977.96 / $2,619.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,840.40 / $23,146.31 / $31,188.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $20,822.43 / $29,092.00