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North Dakota 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
$1,202.26 / $12,882.50 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $12,022.64 / $12,022.64