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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,123.46 / $3,455.74 / $7,856.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,576.00 / $4,771.58 / $6,687.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00