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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
$1,230.27 / $5,011.87 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $13,489.63 / $25,703.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $9,120.11 / $19,054.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $11,748.98 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $27,542.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,137.96 / $10,232.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,709.64 / $17,782.79