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Arkansas 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
$1,030.33 / $3,500.00 / $8,435.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,242.09 / $9,242.09 / $11,090.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.48 / $1,302.48 / $1,302.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.62 / $4,726.62 / $4,726.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.00 / $4,334.00 / $8,676.00