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California 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
$1,888.77 / $10,321.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,770.00 / $12,800.00 / $25,103.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $11,729.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,684.00 / $13,360.00 / $14,932.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.06 / $2,151.96 / $2,582.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.77 / $2,475.23 / $4,400.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,534.34 / $15,825.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$376.50 / $881.80 / $950.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.63 / $2,422.03 / $3,443.15
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$626.53 / $626.53 / $626.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,759.00 / $22,073.00