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Kentucky 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
$860.00 / $1,967.36 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,559.00 / $10,099.00 / $25,200.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,831.97 / $2,503.91 / $2,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.33 / $2,207.33 / $2,207.33
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.02 / $217.02 / $217.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00