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Maryland rates for HCPCS 58571

Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,534.58 / $7,698.34 / $9,932.93
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$7,970.19 / $7,970.19 / $7,970.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,162.83 / $5,162.83 / $5,162.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.19 / $1,219.30 / $2,016.22