go back

Idaho 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
$1,819.70 / $20,417.38 / $23,988.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $10,000.00 / $26,915.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,677.35 / $23,988.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $22,908.68 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09