go back

Oklahoma 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
$1,288.25 / $2,630.27 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,454.71 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95