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Illinois 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
$1,584.89 / $7,079.46 / $23,442.29
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $15,488.17 / $23,988.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,089.30 / $5,248.07
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,943.28 / $16,982.44