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Ohio 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
$2,096.29 / $7,670.00 / $17,682.00
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$9,691.20 / $9,691.20 / $9,691.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,173.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.46 / $1,443.08 / $1,714.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,321.22 / $15,320.08 / $37,866.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,227.00 / $8,796.00 / $13,382.00