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Virginia 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
$2,497.12 / $5,048.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.82 / $2,463.38 / $3,038.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,032.54 / $2,838.28 / $4,079.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.55 / $2,755.09 / $5,170.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00