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Pennsylvania rates for HCPCS 58570

Laparoscopy W Total Hysterectomy Uterus 250 Gm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.94 / $8,113.00 / $20,722.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,722.03 / $21,991.18 / $38,125.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.83 / $7,197.00 / $21,208.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.37 / $794.37 / $1,090.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00