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Nebraska 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
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.22 / $395.22 / $2,203.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,779.83 / $7,833.15 / $14,704.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.69 / $648.90 / $865.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.33 / $985.88 / $1,225.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.22 / $750.92 / $7,772.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.82 / $937.20 / $3,827.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$793.33 / $1,059.08 / $3,093.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.12 / $937.20 / $1,225.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $666.40 / $1,100.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.45 / $921.25 / $1,100.10