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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.82 / $1,138.66 / $6,089.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.17 / $1,374.90 / $1,718.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.52 / $1,353.44 / $2,573.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.55 / $1,508.39 / $6,117.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.18 / $1,313.52 / $9,922.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.60 / $1,278.32 / $2,431.00