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Utah 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
$1,464.18 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.32 / $1,464.18 / $2,029.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.36 / $1,672.95 / $3,446.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.01 / $757.32 / $1,126.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.55 / $2,008.55 / $3,319.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.08 / $1,238.88 / $2,424.96