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California rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,530.35 / $9,674.00 / $23,981.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.00 / $9,557.00 / $19,252.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $12,059.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.04 / $859.30 / $1,031.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.37 / $988.20 / $1,754.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.24 / $10,899.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.15 / $987.77 / $1,385.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,116.00 / $9,810.00 / $22,073.00