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Massachusetts rates for HCPCS 58571

Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

Facilitymedian $5,129 · 10th–90th $1,660–$10,7150%5%10%10th90th$5,129$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,248.07 / $10,232.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,888.44 / $25,703.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,047.13 / $3,548.13
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,918.31 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $11,220.18 / $21,877.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,888.44 / $25,703.96
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,165.95 / $19,054.61