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Louisiana 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
$941.00 / $2,880.00 / $6,546.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,788.02 / $13,498.87 / $19,342.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,301.23 / $12,301.23 / $12,301.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00