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Ohio 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
$2,113.92 / $7,313.90 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $12,098.50 / $21,233.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.36 / $2,466.42 / $3,052.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00