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Louisiana 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
$1,230.27 / $3,801.89 / $20,892.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $13,489.63 / $19,498.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $10,471.29 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $7,079.46 / $15,848.93