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Virginia rates for HCPCS 58805

Drainage Ovarian Cyst Uni/Bi Spx Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.06 / $5,087.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.06 / $423.14 / $529.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.90 / $510.11 / $699.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.09 / $651.89 / $2,413.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.06 / $543.96 / $1,041.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.41 / $487.69 / $601.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.41 / $546.13 / $769.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.00 / $567.00 / $974.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.67 / $541.11 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.67 / $541.11 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.59 / $554.95 / $922.33