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Oregon rates for HCPCS 58572

Laparoscopy Total Hysterectomy Uterus >250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.36 / $11,652.00 / $23,856.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.80 / $2,370.05 / $2,668.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.19 / $2,208.58 / $3,223.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.44 / $1,978.76 / $2,252.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.19 / $2,411.98 / $2,791.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,713.19 / $31,052.21 / $38,534.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $18,628.00 / $26,255.00