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California 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
$2,421.00 / $9,008.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,314.00 / $10,117.00 / $20,418.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $100.00 / $5,403.01
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.04 / $856.56 / $1,027.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.82 / $985.04 / $1,742.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$500.00 / $500.00 / $500.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,939.27 / $6,240.78
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$148.15 / $347.57 / $376.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.66 / $983.30 / $1,382.46
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$289.98 / $289.98 / $289.98
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$246.48 / $246.48 / $246.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,267.00 / $26,451.00