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Virginia rates for HCPCS 58957

Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed;

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,417.00 / $6,026.83 / $6,110.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.66 / $2,257.58 / $3,186.60