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Hawaii 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
$2,818.38 / $6,918.31 / $6,918.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,122.02 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95