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Arizona rates for HCPCS 58573

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.00 / $6,468.00 / $10,546.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$6,366.00 / $6,366.00 / $7,622.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.11 / $4,095.93 / $6,619.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,019.71 / $9,019.71 / $9,019.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.00 / $1,691.15 / $9,437.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$308.48 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,315.00 / $7,341.00 / $11,396.00