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Vermont 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
$1,435.72 / $1,435.72 / $6,089.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.77 / $1,996.03 / $4,164.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.84 / $1,996.03 / $4,164.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.11 / $1,640.70 / $5,111.64