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Nationwide rates for HCPCS 58954

Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,677.35 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $11,748.98 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $5,495.41 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $10,232.93