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Connecticut 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
$2,578.35 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.85 / $2,578.35 / $4,176.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,755.84 / $15,054.00 / $18,574.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.90 / $3,401.57 / $4,100.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.03 / $2,571.92 / $4,619.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.86 / $2,749.10 / $2,749.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $6,137.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.39 / $2,657.86 / $8,089.91