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New York 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
$1,925.93 / $5,324.00 / $13,955.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $7,688.00 / $14,242.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.58 / $2,714.58 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.33 / $2,207.33 / $12,209.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.02 / $217.02 / $217.02
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,576.03 / $5,050.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.60 / $3,940.60 / $3,940.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,207.33 / $12,209.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$217.02 / $217.02 / $217.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,735.00 / $11,176.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.86 / $2,212.16 / $2,212.16