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Ohio rates for HCPCS 58958

Resection Recrt Mal W/Omentectomy Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,617.11 / $6,566.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,617.11 / $1,617.11 / $3,290.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,426.00 / $12,098.50 / $21,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.96 / $1,730.94 / $2,973.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.88 / $1,882.66 / $2,330.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.39 / $1,725.77 / $1,725.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.94 / $2,218.67 / $3,307.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.88 / $2,331.63 / $3,307.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.07 / $1,539.59 / $2,243.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.13 / $2,179.67 / $3,651.05