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Washington, DC 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
$1,017.00 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.48 / $1,379.48 / $1,379.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $1,933.20 / $2,715.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.13 / $2,196.44 / $4,261.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.74 / $3,742.49 / $3,742.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.94 / $2,167.67 / $4,343.68