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California 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
$2,039.20 / $9,697.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,343.00 / $11,780.00 / $23,151.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $8,389.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.14 / $2,400.62 / $2,880.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.56 / $2,763.58 / $4,922.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,066.33 / $22,791.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,190.26 / $2,767.63 / $3,930.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00