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Kentucky 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
$860.00 / $2,207.60 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,062.90 / $9,565.00 / $21,322.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.36 / $2,809.67 / $3,241.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.55 / $2,476.69 / $2,476.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00