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Arizona rates for HCPCS 58956

Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.11 / $1,692.51 / $4,199.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$345.39 / $621.57 / $621.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00