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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
$1,320.25 / $8,294.00 / $15,165.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $1,340.50 / $5,508.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.63 / $1,339.02 / $1,651.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.83 / $1,546.68 / $2,178.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.08 / $1,542.94 / $2,723.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $11,077.00 / $26,244.00