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Virginia rates for HCPCS 58575

Laps Tot Hysterectomy Resj Malignancy W/Omntc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.80 / $7,849.00 / $16,733.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,061.24 / $17,132.29 / $23,861.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.43 / $2,198.92 / $2,624.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.43 / $2,515.85 / $3,477.68
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$354.00 / $402.94 / $530.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.39 / $2,493.01 / $4,548.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00