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Virginia 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
$1,318.26 / $6,918.31 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,238.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $12,302.69 / $29,512.09