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New York 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
$974.43 / $5,164.00 / $11,880.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.52 / $1,066.52 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.17 / $867.17 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.60 / $85.60 / $85.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,299.14 / $2,345.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,502.17 / $4,502.17 / $5,400.48
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $867.17 / $7,227.90
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.60 / $85.60 / $85.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.40 / $871.40 / $2,374.05