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Washington, DC rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $6,915.00 / $8,837.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.74 / $2,766.02 / $2,766.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $5,185.00 / $19,046.00