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Louisiana rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,447.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.89 / $6,933.05 / $10,265.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.59 / $1,249.59 / $1,249.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,238.00 / $8,257.00