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Virginia rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.79 / $5,028.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.05 / $874.86 / $1,078.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.62 / $992.49 / $1,371.92
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.04 / $981.54 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00