go back

Texas 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
$969.00 / $3,596.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.42 / $3,689.25 / $13,642.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.67 / $1,951.67 / $1,951.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $22,170.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.89 / $2,736.12 / $4,888.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,098.89 / $2,794.40 / $5,545.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00