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Pennsylvania 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 $11,220 · 10th–90th $4,074–$30,9030%5%10th90th$11,220$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
$4,073.80 / $11,220.18 / $30,902.95
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$5,011.87 / $16,595.87 / $19,952.62
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,471.29 / $107,151.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $24,547.09 / $40,738.03
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$37,153.52 / $37,153.52 / $37,153.52
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $9,549.93 / $51,286.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $6,918.31 / $32,359.37
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $17,782.79 / $45,708.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,606.93 / $33,884.42