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Pennsylvania rates for HCPCS 58573

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Facilitymedian $9,772 · 10th–90th $2,138–$37,1540%5%10%10th90th$9,772$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $9,549.93 / $37,153.52
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$14,791.08 / $16,595.87 / $43,651.58
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,549.93 / $128,824.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $24,547.09 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$45,708.82 / $45,708.82 / $45,708.82
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $63,095.73
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $5,128.61 / $28,840.32
Martin's Point
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $43,651.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,348.96 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,606.93 / $33,884.42