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Georgia 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
$1,791.00 / $6,915.00 / $14,497.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.47 / $4,701.47 / $17,687.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,186.00 / $6,918.00 / $10,047.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.92 / $2,476.40 / $5,933.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$5,760.76 / $5,760.76 / $5,760.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$76.81 / $76.81 / $76.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $6,351.00 / $8,836.00