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Louisiana 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
$900.00 / $2,781.00 / $5,526.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,610.42 / $12,159.66 / $16,782.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.00 / $3,238.00 / $8,257.00