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Wyoming 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
$3,162.28 / $13,182.57 / $39,810.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $30,902.95 / $30,902.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $9,549.93 / $25,703.96