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Idaho 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
$4,500.00 / $4,657.00 / $7,967.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.61 / $1,803.96 / $2,309.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,710.47 / $23,146.31 / $31,188.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00