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New Jersey 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
$3,465.51 / $6,627.00 / $14,379.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,563.08 / $8,182.00 / $11,733.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,426.63 / $20,426.63 / $48,272.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $10,536.00 / $23,291.00