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Virginia 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
$1,294.88 / $8,493.00 / $16,733.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.79 / $1,184.15 / $1,460.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.36 / $1,370.12 / $1,879.05
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.18 / $1,434.20 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,640.00 / $14,314.00 / $26,411.00