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Oregon 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
$2,344.23 / $15,135.61 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $8,511.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $3,019.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,570.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $32,359.37 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $20,892.96 / $39,810.72