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Kentucky rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.60 / $1,547.81 / $13,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,062.90 / $9,987.00 / $21,322.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.95 / $1,752.55 / $2,021.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.60 / $1,541.38 / $1,541.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00