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Arizona rates for HCPCS 58950

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,570.88 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $7,244.36