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California rates for HCPCS 58573

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

Facilitymedian $12,882 · 10th–90th $4,898–$28,8400%10%10th90th$12,882Professionalmedian $1,349 · 10th–90th $977–$2,7540%20%10th90th$1,349$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $11,748.98 / $42,657.95
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $13,803.84 / $26,302.68
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $8,128.31 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,022.64 / $14,791.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,202.26 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,348.96 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,548.82 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $14,454.40 / $30,902.95