go back

New York 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
$1,516.00 / $5,699.00 / $12,793.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,977.00 / $9,202.00 / $15,596.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.31 / $4,275.50 / $16,534.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.50 / $1,340.50 / $12,209.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,405.68 / $3,080.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.34 / $1,098.34 / $1,522.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,340.50 / $13,042.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.00 / $6,130.00 / $13,256.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.41 / $1,257.41 / $1,522.50