go back

Massachusetts 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
$2,570.40 / $4,786.30 / $16,218.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $25,703.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,995.26 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $6,918.31 / $15,488.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $14,791.08 / $21,877.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,888.44 / $25,703.96
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,244.36 / $19,054.61