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Alaska 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
$6,376.18 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.36 / $10,280.54 / $14,701.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.36 / $10,280.54 / $14,701.19