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South Carolina 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
$6,025.60 / $16,595.87 / $39,810.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $10,000.00 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,417.38 / $25,703.96