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Texas 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
$1,057.53 / $4,591.00 / $13,401.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,562.23 / $12,956.19 / $25,071.07
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $8,715.36 / $13,686.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.97 / $11,770.96 / $11,770.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,027.91 / $7,027.91 / $7,027.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,897.00 / $27,770.10
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$182.68 / $2,632.21 / $2,632.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.90 / $1,022.00 / $1,712.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.90 / $1,046.78 / $1,770.92
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$307.83 / $307.83 / $307.83
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$261.66 / $261.66 / $261.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.00 / $7,350.00 / $16,000.00