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Nebraska 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
$5,463.36 / $10,431.19 / $21,899.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,992.68 / $9,476.87 / $17,790.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.77 / $1,319.21 / $7,221.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$347.57 / $347.57 / $347.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.00 / $1,671.03 / $2,353.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00