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New York 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
$1,905.46 / $3,801.89 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,818.38 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,235.94 / $5,888.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,168.69 / $9,332.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $5,128.61