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Indiana rates for HCPCS 58573

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Facilitymedian $18,621 · 10th–90th $1,585$43,6520%5%10%10th90th$18,621$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $12,882.50 / $38,018.94
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $35,481.34 / $52,480.75
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,380.38 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,698.24 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,220.18 / $17,782.79