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Indiana 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
$1,007.63 / $10,985.00 / $38,429.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $26,869.00 / $45,778.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.21 / $1,064.97 / $1,228.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00