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Oklahoma 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
$1,248.00 / $4,833.00 / $16,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,478.98 / $17,825.49 / $28,011.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.34 / $1,851.00 / $13,541.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.00 / $6,980.00 / $13,541.98