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Texas rates for HCPCS 58210

Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.00 / $3,766.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.70 / $3,080.34 / $9,318.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.62 / $1,641.62 / $1,641.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,164.06 / $24,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.92 / $2,312.77 / $4,081.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,767.63 / $2,312.77 / $4,177.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00