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Kansas 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
$2,300.00 / $7,936.00 / $13,095.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$5,756.00 / $6,166.00 / $7,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,285.10 / $9,028.32 / $10,733.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.95 / $1,779.13 / $9,507.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $6,170.00 / $13,689.00