go back

Indiana rates for HCPCS 58720

Salpingo-Oophorectomy Compl/Prtl Uni/Bi Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.68 / $2,318.00 / $37,864.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.03 / $890.92 / $1,027.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00