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Idaho 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
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.27 / $507.01 / $888.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.16 / $714.73 / $812.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.30 / $726.75 / $819.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.50 / $692.25 / $834.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $592.91 / $745.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,781.66 / $7,272.33 / $9,472.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.93 / $663.93 / $805.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.97 / $619.38 / $817.36