go back

Georgia 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
$2,951.21 / $5,623.41 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,365.16 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,235.94 / $7,943.28