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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.70 / $1,937.08 / $2,889.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.10 / $2,843.78 / $3,174.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.40 / $2,889.38 / $3,698.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,654.17 / $2,815.03 / $3,217.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,584.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,547.78 / $2,547.78 / $3,111.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.84 / $2,434.80 / $3,622.19