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Arizona rates for HCPCS 58570

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $6,468.00 / $10,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,822.29 / $4,500.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.65 / $1,174.51 / $9,437.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$205.25 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00