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Georgia rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.46 / $8,245.00 / $13,676.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,184.57 / $14,959.00 / $24,659.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.97 / $1,333.76 / $6,179.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,998.00 / $9,172.00 / $18,613.00