go back

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
$3,153.00 / $11,769.61 / $41,345.28
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$16,395.16 / $16,395.16 / $38,893.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,880.16 / $15,043.00 / $65,975.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,742.00 / $23,031.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.00 / $12,923.00 / $19,866.00