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Texas 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
$1,148.15 / $4,466.84 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,489.63 / $25,703.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,456.54 / $7,079.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $27,542.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $7,079.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $8,128.31 / $17,378.01