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Alabama 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
$1,210.89 / $3,079.51 / $15,768.42
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$7,500.00 / $7,500.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,951.23 / $9,649.20 / $12,981.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.00 / $5,085.00 / $9,624.00