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Alaska rates for HCPCS 58800

Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.02 / $10,175.36 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.75 / $1,480.42 / $1,827.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.90 / $1,028.90 / $1,133.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.40 / $1,676.88 / $2,347.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.08 / $2,007.60 / $2,532.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.00 / $1,494.50 / $1,916.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.40 / $1,676.88 / $2,347.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.21 / $1,417.50 / $2,001.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.90 / $907.04 / $1,915.67