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Oklahoma 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
$1,346.00 / $5,057.00 / $16,400.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,478.98 / $17,894.58 / $28,159.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,246.71 / $2,071.37 / $12,719.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,632.21 / $2,632.21 / $2,632.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,074.00 / $13,541.98