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Indiana 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
$793.12 / $5,492.50 / $30,968.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $26,869.00 / $45,778.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.56 / $947.67 / $1,093.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00