go back

Colorado rates for HCPCS 58952

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,834.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.60 / $2,147.05 / $2,734.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.24 / $2,488.92 / $3,200.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $8,565.00 / $14,156.00