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Nebraska 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
$1,659.59 / $8,511.38 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $12,589.25 / $24,547.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,659.59 / $17,378.01
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $14,125.38