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New Jersey 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
$1,121.17 / $6,627.00 / $12,831.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,904.34 / $24,378.15 / $48,272.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00