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Ohio 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
$1,474.06 / $7,501.00 / $16,395.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,173.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.11 / $1,184.53 / $1,466.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,534.00 / $9,067.00 / $15,000.00