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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,718.25 / $13,170.73 / $24,724.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.21 / $2,174.19 / $7,856.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$621.57 / $621.57 / $621.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,342.00 / $3,054.90 / $4,199.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00