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South Carolina 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
$2,383.86 / $5,915.11 / $16,467.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.46 / $2,837.00 / $4,878.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00