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Wisconsin rates for HCPCS 58957

Resecj Recur Ovarian/Tubal/Peritoneal Malignancy

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,293.00 / $10,261.00 / $17,436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.16 / $4,758.64 / $7,675.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.58 / $4,825.64 / $4,825.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,478.56 / $6,478.56 / $6,478.56