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Arizona 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
$2,114.00 / $7,233.00 / $11,600.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,125.00 / $5,125.00 / $5,125.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.70 / $3,279.50 / $5,692.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.89 / $1,316.16 / $9,383.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$230.68 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00