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Massachusetts 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
$1,999.83 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $4,983.00 / $12,534.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$489.99 / $489.99 / $950.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.75 / $3,011.09 / $8,208.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,268.00 / $12,534.34
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$489.99 / $489.99 / $950.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $4,983.00 / $8,810.00