go back

Alaska rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $9,577.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.54 / $3,622.81 / $5,180.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.54 / $3,622.81 / $5,180.62