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Arizona rates for HCPCS 58572

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.84 / $6,329.00 / $10,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.09 / $3,520.23 / $5,295.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.04 / $1,459.16 / $9,383.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00