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Maine rates for HCPCS 58943

Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.36 / $1,178.36 / $1,211.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.77 / $1,594.84 / $2,303.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.34 / $1,715.53 / $2,526.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.71 / $1,729.30 / $2,652.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.32 / $1,178.36 / $1,211.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.13 / $1,689.75 / $2,393.86