go back

Wisconsin rates for HCPCS 58943

Oophorectomy Prtl/Tot Uni/Bi Ovarian Malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.34 / $2,437.63 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.46 / $1,254.34 / $3,836.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,082.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.51 / $3,034.06 / $6,361.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,086.34 / $3,606.63 / $5,817.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.59 / $3,521.93 / $4,912.06
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.73 / $1,414.91 / $4,510.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.34 / $4,240.00 / $11,598.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.34 / $2,831.55 / $5,498.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.61 / $724.04 / $2,468.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.73 / $1,414.91 / $4,510.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,356.90 / $3,576.90 / $4,287.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,670.20 / $12,670.20 / $12,670.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.64 / $5,596.45 / $9,922.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.88 / $2,859.88 / $2,859.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,022.08 / $6,433.93 / $6,433.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,241.00 / $9,837.00 / $12,062.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.98 / $3,780.40 / $5,192.37