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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
$1,101.49 / $4,185.00 / $11,210.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,215.65 / $12,787.93 / $25,828.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.71 / $1,057.71 / $1,090.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.00 / $5,930.72 / $7,027.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $27,770.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.84 / $1,236.72 / $2,580.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.49 / $1,263.76 / $2,640.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.00 / $7,551.00 / $16,584.00