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Pennsylvania 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 / $7,943.28 / $22,387.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $25,118.86 / $38,904.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $7,413.10 / $20,892.96
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,621.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $33,113.11