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Louisiana rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $3,293.00 / $13,686.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,788.02 / $13,498.87 / $19,342.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,559.29 / $10,559.29 / $10,559.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,284.00 / $5,780.00 / $12,353.00