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Virginia 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
$1,737.80 / $8,128.31 / $32,359.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $15,848.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $3,311.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,995.26 / $2,818.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $2,511.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,659.59 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,882.50 / $29,512.09