go back

Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,265.80 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01