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Montana rates for HCPCS 58951

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,285.65 / $2,285.65 / $2,285.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.58 / $2,429.69 / $2,566.05