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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
$4,966.20 / $10,023.00 / $26,899.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,678.00 / $16,131.00 / $26,433.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $11,688.00 / $20,738.00