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Oklahoma 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
$1,150.00 / $4,930.00 / $16,400.00
Aetna
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$2,613.60 / $2,613.60 / $2,613.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.84 / $13,547.08 / $21,288.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.54 / $1,627.85 / $13,541.98
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,632.21 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $6,980.00 / $13,541.98