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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

Facilitymedian $5,248 · 10th–90th $2,042–$17,7830%5%10th90th$5,248Professionalmedian $2,570 · 10th–90th $1,905–$5,0120%10%10th90th$2,570$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,801.89 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,848.93 / $20,892.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,290.87 / $6,025.60
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $5,011.87
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,884.03 / $4,168.69
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,754.23 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,311.31 / $6,309.57