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Arkansas rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.70 / $2,814.00 / $9,477.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,242.09 / $9,242.09 / $11,090.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.84 / $1,752.84 / $1,752.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,726.62 / $4,726.62 / $4,726.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,555.00 / $8,929.00