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New York 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
$1,096.48 / $5,888.44 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,630.27 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,380.38 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$138.04 / $138.04 / $138.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $2,951.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $10,964.78 / $17,782.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,762.47 / $18,620.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,754.23