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Nationwide rates for HCPCS 58575

Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,495.41 / $14,791.08
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $12,022.64 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $6,456.54 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,025.60 / $12,302.69