| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,376.18 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,686.36 | $10,280.54 | $14,701.19 | |
Providence
| Facility | $2,686.36 | $10,280.54 | $14,701.19 |
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,376.18 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $2,686.36 | $10,280.54 | $14,701.19 | |
Providence
| Facility | $2,686.36 | $10,280.54 | $14,701.19 |