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Alaska rates for HCPCS 58943

Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,348.96 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $7,762.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,630.78 / $8,317.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $6,760.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,495.41 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,148.15 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,162.28 / $7,244.36