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New York 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
$1,435.89 / $6,067.00 / $15,793.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,294.00 / $23,873.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.03 / $3,183.00 / $13,009.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.92 / $12,209.00 / $34,562.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,812.93 / $3,655.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,687.50 / $6,687.50 / $10,994.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $1,166.92 / $34,562.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.00 / $6,762.00 / $16,403.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.92 / $1,161.92 / $3,632.78