go back

Wisconsin 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 $10,471 · 10th–90th $5,012–$18,1970%5%10%10th90th$10,471Professionalmedian $5,012 · 10th–90th $2,570–$6,9180%20%10th90th$5,012$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
$2,290.87 / $4,365.16 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,220.18 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,456.54 / $10,232.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,801.89 / $9,549.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,168.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $5,011.87 / $6,918.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $22,387.21 / $22,387.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45