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Arizona rates for HCPCS 58720

Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.61 / $994.66 / $7,041.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$193.04 / $347.57 / $347.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,094.00 / $6,455.00 / $9,010.00