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Arizona rates for HCPCS 58548

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,819.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,793.03 / $2,457.89 / $7,920.00
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,816.84 / $6,866.68 / $6,866.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$477.11 / $858.34 / $858.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.00 / $6,455.00 / $9,010.00