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Massachusetts rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $3,294.02 / $7,203.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.00 / $5,897.00 / $17,998.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.94 / $1,909.00 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $6,078.00 / $15,421.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.00 / $5,904.00 / $13,017.00