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Alaska rates for HCPCS 58953

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,892.60 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.80 / $9,500.85 / $13,586.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,480.80 / $9,500.85 / $13,586.22