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Wisconsin 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
$1,230.27 / $2,344.23 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $5,495.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $6,309.57 / $12,302.69
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,691.53 / $3,715.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $9,120.11 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $12,589.25