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Connecticut 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
$5,011.87 / $12,302.69 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $22,908.68 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $35,481.34 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $11,220.18 / $20,892.96