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Alaska rates for HCPCS 58571

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $10,900.00 / $34,121.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.30 / $6,023.92 / $13,493.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.30 / $4,302.80 / $6,153.00