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New York 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
$1,837.00 / $4,392.00 / $10,296.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,697.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.44 / $2,825.44 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,287.73 / $2,287.73 / $7,227.90
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.74 / $224.74 / $224.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $3,100.00 / $5,230.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $2,287.73 / $7,227.90
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$224.74 / $224.74 / $224.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.03 / $2,291.03 / $6,466.45