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Connecticut rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,458.68 / $9,522.00 / $19,768.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $15,054.00 / $26,433.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $11,688.00 / $20,738.00