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New York rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,248.07 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,318.26 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $2,691.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $9,772.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $12,302.69
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $870.96 / $2,344.23