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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.08 / $1,506.08 / $1,617.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.95 / $2,172.79 / $2,582.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,448.70 / $2,022.97 / $3,977.89