go back

South Carolina 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
$2,137.96 / $9,120.11 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $12,882.50 / $23,442.29