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Arizona rates for HCPCS 58805

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.50 / $3,617.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.21 / $407.56 / $2,203.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.09 / $489.46 / $611.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,084.43 / $3,084.43 / $3,084.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.10 / $494.17 / $879.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.84 / $559.05 / $3,770.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.26 / $472.29 / $3,827.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,140.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.20 / $437.05 / $825.52