go back

South Carolina 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
$1,258.93 / $7,943.28 / $16,595.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $12,882.50 / $23,442.29