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Nebraska 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
$5,463.36 / $10,255.42 / $23,483.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.53 / $2,583.96 / $15,412.10
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,632.21 / $2,632.21 / $2,632.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.73 / $2,999.50 / $8,854.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00