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Illinois 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
$1,159.00 / $3,114.24 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.95 / $1,658.61 / $3,249.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,146.17 / $21,703.04 / $43,460.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.71 / $2,733.68 / $3,227.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.35 / $2,436.82 / $3,536.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.01 / $2,842.96 / $8,509.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.09 / $2,111.92 / $2,324.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,682.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.35 / $2,464.59 / $4,020.88