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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
$1,757.23 / $5,063.00 / $7,421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.99 / $5,842.74 / $14,965.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $550.00 / $550.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.50 / $2,776.15 / $9,348.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$6,458.11 / $6,458.11 / $6,458.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.00 / $3,629.00 / $10,000.00