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Indiana rates for HCPCS 58575

Laps Tot Hysterectomy Resj Malignancy W/Omntc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,879.67 / $2,142.67 / $16,359.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $17,649.84 / $24,713.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.85 / $2,264.61 / $2,613.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00