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Oklahoma 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
$1,346.00 / $4,374.00 / $29,973.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,271.71 / $17,815.62 / $28,366.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $2,321.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.00 / $2,709.00 / $7,077.94
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$881.80 / $881.80 / $881.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.00 / $4,054.00 / $7,077.94