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Florida 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
$2,238.72 / $10,000.00 / $41,686.94
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$16,218.10 / $16,218.10 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $19,054.61 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$208.93 / $208.93 / $208.93
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $12,022.64 / $22,908.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $12,302.69 / $18,620.87