go back

New Hampshire 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
$2,398.83 / $4,466.84 / $20,892.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $19,952.62
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,445.44