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Indiana 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
$422.36 / $1,123.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.02 / $422.36 / $502.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.33 / $492.92 / $699.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.52 / $501.54 / $578.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.80 / $462.96 / $578.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.73 / $547.04 / $916.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.90 / $474.21 / $802.76