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Maryland 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
$2,284.37 / $7,105.84 / $12,816.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.94 / $2,594.11 / $4,266.67