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Maryland rates for HCPCS 58570

Laparoscopy W Total Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.83 / $7,175.38 / $11,421.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.37 / $1,085.36 / $1,789.95