| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,813.54 | $4,393.00 | $16,467.00 | |
Medcost
| Facility | $1,545.45 | $2,057.00 | $3,646.62 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $1,813.54 | $4,393.00 | $16,467.00 | |
Medcost
| Facility | $1,545.45 | $2,057.00 | $3,646.62 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |