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Kentucky rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $1,060.20 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,643.00 / $10,202.00 / $15,330.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.11 / $1,349.35 / $1,556.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.92 / $1,166.92 / $1,166.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.00 / $6,818.00 / $15,000.00