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Washington 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 $4,786 · 10th–90th $2,754–$18,6210%10%10th90th$4,786$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,495.41 / $20,892.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,466.84 / $5,495.41
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,168.69 / $4,365.16
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,951.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,089.30 / $5,754.40