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Louisiana 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
$1,086.78 / $4,100.00 / $28,466.69
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$11,306.53 / $11,306.53 / $11,306.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,788.02 / $13,498.87 / $19,342.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,950.90 / $10,950.90 / $10,950.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00