| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,381.87 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,081.00 | $4,478.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
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 | $2,381.87 | $7,655.00 | $13,151.00 | |
Medica
| Facility | $55.00 | $2,081.00 | $4,478.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |