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Arizona rates for HCPCS 58958

Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed, with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.00 / $1,615.16 / $9,083.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,598.50 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.19 / $1,884.26 / $2,355.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.94 / $1,930.86 / $3,854.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.56 / $1,966.04 / $4,337.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.11 / $1,947.12 / $14,703.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.58 / $1,903.42 / $3,330.86