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Virginia rates for HCPCS 58573

Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.06 / $8,517.00 / $31,831.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.81 / $1,384.57 / $1,707.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.58 / $1,617.45 / $2,235.81
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$333.58 / $395.55 / $486.82
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$233.51 / $276.88 / $340.77
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.84 / $1,649.96 / $7,902.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00