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Alaska rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,486.75 / $13,413.92 / $25,230.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.30 / $8,104.07 / $10,927.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,509.30 / $5,788.62 / $8,277.73