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Virginia 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
$1,866.68 / $4,796.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.63 / $1,872.76 / $2,309.73
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.97 / $2,172.44 / $3,049.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.45 / $2,070.00 / $3,890.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00