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Massachusetts 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
$2,024.33 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,414.00 / $7,231.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$507.12 / $507.12 / $982.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,963.38 / $8,090.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $16,691.22
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$507.12 / $507.12 / $982.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00