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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.84 / $3,196.78 / $7,856.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$913.13 / $913.13 / $913.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,295.00 / $4,390.07 / $6,180.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00