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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
$1,995.26 / $3,388.44 / $8,511.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,570.88 / $11,220.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,951.21 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $4,786.30 / $11,220.18
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $5,623.41 / $9,332.54