| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,832.72 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,031.32 | $7,791.97 | $11,142.52 | |
Providence
| Facility | $2,031.32 | $7,791.97 | $11,142.52 |
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,832.72 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,031.32 | $7,791.97 | $11,142.52 | |
Providence
| Facility | $2,031.32 | $7,791.97 | $11,142.52 |