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California rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,514.00 / $9,833.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,738.00 / $12,360.00 / $24,456.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $12,083.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.09 / $12,122.00 / $14,932.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.70 / $1,156.69 / $1,561.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.02 / $1,330.93 / $2,367.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,897.00 / $5,897.00 / $27,770.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.68 / $1,388.03 / $2,024.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,784.00 / $29,571.00