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Texas 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
$1,077.00 / $3,853.24 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,863.53 / $3,138.58 / $12,723.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.61 / $1,737.61 / $1,737.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $15,392.44
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$436.12 / $881.80 / $950.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.87 / $2,170.73 / $4,158.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.87 / $2,199.98 / $4,952.10
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$626.53 / $626.53 / $626.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00