go back

Virginia 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
$1,561.01 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,549.98 / $1,911.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.58 / $1,791.08 / $2,550.12
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$234.46 / $277.86 / $386.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.90 / $1,749.76 / $3,293.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00