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Delaware rates for HCPCS 58152

Tot Abd Hyst W/Wo Rmvl Tube Ovary W/Colpurethrxy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $7,265.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.59 / $1,124.59 / $1,209.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.16 / $1,588.11 / $1,846.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.39 / $1,508.85 / $2,871.30