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Iowa rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.87 / $1,135.28 / $1,903.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.23 / $1,914.97 / $11,051.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.93 / $1,689.95 / $2,235.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,091.00 / $10,320.00